Healthcare Provider Details

I. General information

NPI: 1962348086
Provider Name (Legal Business Name): AGAPE FAMILY MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 SPRINGFIELD ST
CHICOPEE MA
01013-2628
US

IV. Provider business mailing address

104 SPRINGFIELD ST
CHICOPEE MA
01013-2628
US

V. Phone/Fax

Practice location:
  • Phone: 413-439-3674
  • Fax:
Mailing address:
  • Phone: 413-439-3674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARIA ISABEL ORTIZ-APONTE
Title or Position: PRESIDENT
Credential: M.ED,MHC
Phone: 413-439-3674