Agape Behavioral Center LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

AGAPE BEHAVIORAL CENTER LLC

Practice address

5081 NW Dunn Rd
Fort Pierce, FL 34981-4942

Phone

(772) 362-5651

NPI assigned

Apr 14, 2022

Organization subpart

No

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

Authorized official

Name

George Jonathan Mavrookas

Title

Ceo

Phone

(754) 200-4373

Specialties & licenses 1

Addresses

Other names 1

• AGAPE ADVANCED INTEGRATIVE MEDICINE LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1982347472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 E OAKLAND PARK BLVD",
            "address_2": "STE 101",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342709",
            "telephone_number": "754-200-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5081 NW DUNN RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814942",
            "telephone_number": "772-362-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE BEHAVIORAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "MAVROOKAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "754-200-4373"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGAPE ADVANCED INTEGRATIVE MEDICINE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric Residential Treatment Facility in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Psychiatric Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.