Healthcare Provider Details

I. General information

NPI: 1609702380
Provider Name (Legal Business Name): AGAPE THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8450 LAGOS DE CAMPO BLVD APT 301
TAMARAC FL
33321-3739
US

IV. Provider business mailing address

8450 LAGOS DE CAMPO BLVD APT 301
TAMARAC FL
33321-3739
US

V. Phone/Fax

Practice location:
  • Phone: 954-899-8166
  • Fax:
Mailing address:
  • Phone: 954-899-8166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ESTEFANY GUTIERREZ
Title or Position: OWNER/ OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 954-899-8166