Provider Demographics
NPI:1982032330
Name:AGAPE PSYCH SERVICES, PLLC
Entity Type:Organization
Organization Name:AGAPE PSYCH SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:740-802-4399
Mailing Address - Street 1:1006 N BOWEN RD STE E-H
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-2826
Mailing Address - Country:US
Mailing Address - Phone:740-802-4399
Mailing Address - Fax:817-394-5075
Practice Address - Street 1:1006 N BOWEN RD STE 200E-H
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2826
Practice Address - Country:US
Practice Address - Phone:740-802-4399
Practice Address - Fax:817-394-5075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34930103T00000X
TX34502103T00000X
TX35136103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty