Provider Demographics
NPI:1235793142
Name:AGAPE-LOVE BEHAVIORAL HEALTH PLLC
Entity Type:Organization
Organization Name:AGAPE-LOVE BEHAVIORAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:BILHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUREITHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-926-3422
Mailing Address - Street 1:101 S JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-3939
Mailing Address - Country:US
Mailing Address - Phone:469-774-7875
Mailing Address - Fax:
Practice Address - Street 1:101 S JACKSON AVE
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-3939
Practice Address - Country:US
Practice Address - Phone:972-926-3422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX355965001Medicaid