Provider Demographics
NPI:1932791852
Name:AGAPE HEALTH & WELLNESS
Entity type:Organization
Organization Name:AGAPE HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AGATHE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILHOMME
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, PHD
Authorized Official - Phone:561-270-6201
Mailing Address - Street 1:5840 CORPORATE WAY STE 250
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2049
Mailing Address - Country:US
Mailing Address - Phone:561-270-6201
Mailing Address - Fax:
Practice Address - Street 1:5840 CORPORATE WAY STE 250
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2049
Practice Address - Country:US
Practice Address - Phone:786-356-9915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251K00000XAgenciesPublic Health or Welfare