Provider Demographics
NPI:1346098340
Name:AGAPE HEALING ARTS HEALTH AND WELLNESS CENTER
Entity type:Organization
Organization Name:AGAPE HEALING ARTS HEALTH AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUREN
Authorized Official - Suffix:
Authorized Official - Credentials:AP, DOM
Authorized Official - Phone:561-762-4273
Mailing Address - Street 1:222 S US HIGHWAY 1 STE 1
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-2740
Mailing Address - Country:US
Mailing Address - Phone:561-762-4273
Mailing Address - Fax:
Practice Address - Street 1:222 S US HIGHWAY 1 STE 1
Practice Address - Street 2:
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-2740
Practice Address - Country:US
Practice Address - Phone:561-762-4273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service