Provider Demographics
NPI:1992511042
Name:AGAPE TRANSFORMATION COUNSELING, LLC
Entity type:Organization
Organization Name:AGAPE TRANSFORMATION COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CELISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:864-729-3081
Mailing Address - Street 1:228 REDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642-9027
Mailing Address - Country:US
Mailing Address - Phone:864-729-3081
Mailing Address - Fax:
Practice Address - Street 1:37 VILLA RD STE 206
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-3040
Practice Address - Country:US
Practice Address - Phone:864-729-3081
Practice Address - Fax:864-412-8689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty