Provider Demographics
NPI:1013281666
Name:AGAPE COUNSELING SERVICES
Entity Type:Organization
Organization Name:AGAPE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:ZUBER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:863-687-6099
Mailing Address - Street 1:5337 N SOCRUM LOOP RD
Mailing Address - Street 2:NO. 278
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33809-4256
Mailing Address - Country:US
Mailing Address - Phone:863-687-6099
Mailing Address - Fax:863-858-1492
Practice Address - Street 1:6868 N SOCRUM LOOP RD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33809-4101
Practice Address - Country:US
Practice Address - Phone:863-687-6099
Practice Address - Fax:863-858-1495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT0001417251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health