Agape Individual and Family Therapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AGAPE INDIVIDUAL AND FAMILY THERAPY, LLC

Practice address

2825 7TH St
Tuscaloosa, AL 35401-1807

Phone

(205) 523-5590

NPI assigned

Feb 2, 2021

Last updated

Feb 2, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Greer K FawleyNPI 1245701697

Title

Owner

Phone

(205) 523-5590

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Greer Fawley, MFTA

  • Mental Health Counselor
  • Tuscaloosa, AL
  • NPI 1245701697
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1801487640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011807",
            "telephone_number": "205-523-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011807",
            "telephone_number": "205-523-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE INDIVIDUAL AND FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "FAWLEY",
        "authorized_official_first_name": "GREER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-523-5590"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.