Healthcare Provider Details

I. General information

NPI: 1245143908
Provider Name (Legal Business Name): AGAPE TELEHEALTH COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1768 S SKYVIEW LOOP
PROVO UT
84606
US

IV. Provider business mailing address

7533 S CENTER VIEW CT STE 5068
WEST JORDAN UT
84084-5526
US

V. Phone/Fax

Practice location:
  • Phone: 385-534-2800
  • Fax:
Mailing address:
  • Phone: 385-534-2800
  • 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: MR. RICHARD HERRING II
Title or Position: OWNER
Credential:
Phone: 719-426-0083