Provider Demographics
NPI:1447025598
Name:INSPIRED AGAPE, LLC
Entity type:Organization
Organization Name:INSPIRED AGAPE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC-S
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELITA
Authorized Official - Middle Name:ROSA
Authorized Official - Last Name:AGAPE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:210-975-4455
Mailing Address - Street 1:23675 CIELO VISTA DR.
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255
Mailing Address - Country:US
Mailing Address - Phone:210-385-3833
Mailing Address - Fax:
Practice Address - Street 1:23675 CIELO VISTA DR.
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78255
Practice Address - Country:US
Practice Address - Phone:210-385-3833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty