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Agape Counseling Service Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in St Louis, Missouri
NPI 1003062936

Agape Counseling Service Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in St Louis, MO. Agape Counseling Service Inc practices in St Louis, MO. The NPI Number for Agape Counseling Service Inc is 1003062936 and holds a License No. 2000164578 (Missouri).

The current practice location address for Agape Counseling Service Inc is 4144 Lindell Blvd, St Louis, MO and can be reached out via phone at 314-531-1601 and via fax at 314-727-1921. You can also correspond with Agape Counseling Service Inc through the mailing address at 1569 QUENDO AVENUE, ST LOUIS, MO - 63130-1419 (mailing address contact number: 314-727-7277).

Location: 4144 Lindell Blvd, St Louis, MO, 63130-1419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003062936
Provider Name
Agape Counseling Service Inc
Credential
Provider Entity Type
Organization
Address
4144 Lindell Blvd, St Louis, MO, 63130-1419
Phone Number
314-531-1601
Fax Number
314-727-1921
Provider Enumeration Date
08/12/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2000165478 01 MO LCSW MARRIAGE & FAMILY THERAPY
495945404 05 MO
856261409 05 MO
856261409 01 MO MEDICAID WAIVER
CASAC 2513 01 MO ADDICTION DIAGNOSIS & TREARMENT
institution
Provider Business Practice Location Address Details
Address
4144 Lindell Blvd
City
St Louis
State
Missouri
Zip
63108
Phone Number
314-531-1601
Fax Number
314-727-1921
person
Provider Business Mailing Address Details
Address
4144 Lindell Blvd
City
St Louis
State
Missouri
Zip
63108
Phone Number
314-531-1601
Fax Number
314-727-1921
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
20001164578 (Missouri)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
2000164578 (Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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