- Practice location
- 5536 Old National Hwy, Suite 100, Atlanta, GA 30349
- Phone
- 404-564-4796
- Fax
- 404-564-6487
- Last updated
- May 8, 2024
Agape Community Integrated Health Systems, INC is a healthcare organization based in Atlanta, GA. Agape Community Integrated Health Systems, INC practices in Atlanta, GA. The NPI Number for Agape Community Integrated Health Systems, INC is 1578090601 and holds a License No. 060-435-D (GA). The current practice location address for Agape Community Integrated Health Systems, INC is 5536 Old National Hwy, Suite 100, Atlanta, GA 30349 and can be reached out via phone at 404-564-4796 and via fax at 404-564-6487.
Provider Profile Details
- NPI Number
- 1578090601
- Provider Name
- Agape Community Integrated Health Systems, INC
- Provider Entity Type
- Organization
- Address
- 5536 Old National Hwy, Suite 100, Atlanta, GA 30349
- Phone Number
- 404-564-4796
- Fax Number
- 404-564-6487
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Ms. Aisha D. Frazier · Administrative Assistant · 404-564-6486
- Provider Enumeration Date
- May 19, 2017
- Last Update Date
- May 8, 2024
- Certification Date
- May 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5536 Old National Hwy
Suite 100
Atlanta, GA 30349 - City
- Atlanta
- State
- Georgia
- Zip
- 30349
- Phone Number
- 404-564-4796
- Fax Number
- 404-564-6487
Provider Business Mailing Address Details
- Address
- P.o. Box 10938
Atlanta, GA 30310 - City
- Atlanta
- State
- GA
- Zip
- 30310
- Phone Number
- 404-564-6486
- Fax Number
- 404-564-6487
License Information
- Taxonomy (1)
- Counselor · 101Y00000X
- Taxonomy (2)
- Psychologist, Cognitive & Behavioral · 103TB0200X
- Taxonomy (3)
- Psychologist, Group Psychotherapy · 103TP2701X
- Taxonomy (4)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (5)
- Case Management · 251B00000X
- Taxonomy (6)
- Community/Behavioral Health · 251S00000X
- Taxonomy (7)
- Clinic/Center, Community Health · 261QC1500X
- Taxonomy (8)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
- Taxonomy (9)
- Clinic/Center, Adult Mental Health · 261QM0850X
- License Number (10)
- 060-435-D
- License State (10)
- GA
- Taxonomy (10)
- Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) · 261QR0401X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Agape Community Integrated Health Systems, INC?
The NPI number of Agape Community Integrated Health Systems, INC is 1578090601. It was assigned on May 19, 2017 and is currently active in the NPPES registry.
What is the specialty of Agape Community Integrated Health Systems, INC?
Agape Community Integrated Health Systems, INC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X), licensed in GA under license number 060-435-D.
Where does Agape Community Integrated Health Systems, INC practice?
The practice location is 5536 Old National Hwy, Suite 100, Atlanta, GA 30349. The office can be reached at 404-564-4796 (phone) or 404-564-6487 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578090601 directly on the NPPES registry website.