Provider Demographics
NPI:1902435621
Name:AGAPE HEALING WORKS LLC
Entity Type:Organization
Organization Name:AGAPE HEALING WORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZELRECKA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-338-2244
Mailing Address - Street 1:517 S 8TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-4706
Mailing Address - Country:US
Mailing Address - Phone:856-213-0302
Mailing Address - Fax:609-939-0700
Practice Address - Street 1:517 S 8TH ST STE 2
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-4706
Practice Address - Country:US
Practice Address - Phone:856-213-0302
Practice Address - Fax:609-939-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-04
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty