Healthcare Provider Details

I. General information

NPI: 1538091921
Provider Name (Legal Business Name): AGAPEHEALTH PSYCHOLOGICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 PANORAMIC WAY STE 202
WALNUT CREEK CA
94595-1627
US

IV. Provider business mailing address

31 PANORAMIC WAY STE 202
WALNUT CREEK CA
94595-1627
US

V. Phone/Fax

Practice location:
  • Phone: 669-295-8226
  • Fax:
Mailing address:
  • Phone: 669-295-8226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: KAREN EGU
Title or Position: OWNER
Credential: PSYD
Phone: 669-295-8226