Provider Demographics
NPI:1417726175
Name:AGAPE COUNSELING INC.
Entity Type:Organization
Organization Name:AGAPE COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:TRIPET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-496-6314
Mailing Address - Street 1:79061 AVENUE 42 APT C
Mailing Address - Street 2:
Mailing Address - City:BERMUDA DUNES
Mailing Address - State:CA
Mailing Address - Zip Code:92203-8188
Mailing Address - Country:US
Mailing Address - Phone:951-496-6314
Mailing Address - Fax:
Practice Address - Street 1:79061 AVENUE 42 APT C
Practice Address - Street 2:
Practice Address - City:BERMUDA DUNES
Practice Address - State:CA
Practice Address - Zip Code:92203-8188
Practice Address - Country:US
Practice Address - Phone:951-496-6314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty