Provider Demographics
NPI:1831304435
Name:AGAPE COUNSELING & TRAINING SERVICES OF THE LOW COUNTRY, INC.
Entity Type:Organization
Organization Name:AGAPE COUNSELING & TRAINING SERVICES OF THE LOW COUNTRY, INC.
Other - Org Name:ACTS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:KENNY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:843-785-4099
Mailing Address - Street 1:50 POPE AVE
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29928-4726
Mailing Address - Country:US
Mailing Address - Phone:843-785-4099
Mailing Address - Fax:843-785-2359
Practice Address - Street 1:50 POPE AVE
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29928-4726
Practice Address - Country:US
Practice Address - Phone:843-785-4099
Practice Address - Fax:843-785-2359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3692106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty