Provider Demographics
NPI:1073854345
Name:AGAPE, D'QUEEN (EDD)
Entity Type:Individual
Prefix:DR
First Name:D'QUEEN
Middle Name:
Last Name:AGAPE
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-3341
Mailing Address - Country:US
Mailing Address - Phone:720-296-8409
Mailing Address - Fax:
Practice Address - Street 1:1025 DECATUR ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-3341
Practice Address - Country:US
Practice Address - Phone:720-296-8409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0019038101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor