Provider Demographics
NPI:1639640618
Name:AGAPE CHILD PLACEMENT AGENCY INC.
Entity Type:Organization
Organization Name:AGAPE CHILD PLACEMENT AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:JANENE
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:QP
Authorized Official - Phone:704-291-7879
Mailing Address - Street 1:PO BOX 3319
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28111-3319
Mailing Address - Country:US
Mailing Address - Phone:704-291-7879
Mailing Address - Fax:855-518-5592
Practice Address - Street 1:717 E PARK DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5045
Practice Address - Country:US
Practice Address - Phone:704-291-7879
Practice Address - Fax:855-518-5592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No253J00000XAgenciesFoster Care Agency
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness