Provider Demographics
NPI:1972920163
Name:AGAPE BH&FS, LLC
Entity Type:Organization
Organization Name:AGAPE BH&FS, LLC
Other - Org Name:AGAPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DELLISA
Authorized Official - Middle Name:GLORIES
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-606-8535
Mailing Address - Street 1:3650 N RANCHO DR
Mailing Address - Street 2:STE 106
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-3150
Mailing Address - Country:US
Mailing Address - Phone:702-740-5683
Mailing Address - Fax:702-740-5684
Practice Address - Street 1:3650 N RANCHO DR
Practice Address - Street 2:STE 106
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3150
Practice Address - Country:US
Practice Address - Phone:702-740-5683
Practice Address - Fax:702-740-5684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 103K00000X, 103TB0200X, 251B00000X, 251S00000X
NV251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty