Agape Faith Lay Counseling Center

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

AGAPE FAITH LAY COUNSELING CENTER

Practice address

3650 N Patterson Ave
Winston Salem, NC 27105-3500

Phone

(336) 725-5129

Fax

(336) 245-1174

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Dockery, CADC

Title

Director

Phone

(336) 725-5129

Specialties & licenses 1

Addresses

Other names 1

• Family Life Counseling Doing business as

Locations

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1992383277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 N PATTERSON AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271053500",
            "telephone_number": "336-725-5129",
            "fax_number": "336-245-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 N PATTERSON AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271053500",
            "telephone_number": "336-725-5129",
            "fax_number": "336-245-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE FAITH LAY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "DOCKERY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-725-5129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Life Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aerial Wellness PC
• Affinity Counseling & Wellness
• Claire Aft, NCC, LCMHCA
• Kimberly Lewis Agamedi, NP
• Agape Care Home Health, Inc.
• Martin Kwaku Agbemabiese, M.D.
• Nicole Michelle Agee, RN
• Arjun Vinod Aggarwal, MD
• Vipul Aggarwal, M.D.
• Jennifer Margaret Agha, CCC, SLP

• Counseling Psychologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Counseling Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.