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Agape Transformation Practice
Mental Health Counselor in Decatur, Georgia
NPI 1114425204

Agape Transformation Practice is a Mental Health Counselor based in Lithonia, GA and is specialized in Mental Health. Agape Transformation Practice practices in Decatur, GA. The NPI Number for Agape Transformation Practice is 1114425204 and holds a License No. LPC006638 (Georgia).

The current practice location address for Agape Transformation Practice is 235 E Ponce De Leon Ave Ste 103, Decatur, GA and can be reached out via phone at 678-753-5248 and via fax at 404-585-3054.

Location: 235 E Ponce De Leon Ave Ste 103, Decatur, GA, 30038-6234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114425204
Provider Name
Agape Transformation Practice
Credential
Provider Entity Type
Organization
Address
235 E Ponce De Leon Ave Ste 103, Decatur, GA, 30038-6234
Phone Number
678-753-5248
Fax Number
404-585-3054
Provider Enumeration Date
01/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
235 E Ponce De Leon Ave Ste 103
City
Decatur
State
Georgia
Zip
30030-3412
Phone Number
678-753-5248
Fax Number
404-585-3054
person
Provider Business Mailing Address Details
Address
235 E Ponce De Leon Ave Ste 103
City
Decatur
State
Georgia
Zip
30030-3412
Phone Number
678-753-5248
Fax Number
404-585-3054
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC006638 (Georgia)
Definition
Definition to come...
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