Provider Demographics
NPI:1710742564
Name:AGATHOS HEALTH
Entity Type:Organization
Organization Name:AGATHOS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-744-0914
Mailing Address - Street 1:8432 NATIONAL DR
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-3332
Mailing Address - Country:US
Mailing Address - Phone:727-744-0914
Mailing Address - Fax:
Practice Address - Street 1:8432 NATIONAL DR
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-3332
Practice Address - Country:US
Practice Address - Phone:727-744-0914
Practice Address - Fax:606-531-8269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty