Healthcare Provider Details

I. General information

NPI: 1356994263
Provider Name (Legal Business Name): AGAPE CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2019
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 KEMPSVILLE RD
NORFOLK VA
23502-2643
US

IV. Provider business mailing address

1216 GARTH CT
VIRGINIA BEACH VA
23454-5751
US

V. Phone/Fax

Practice location:
  • Phone: 757-524-1593
  • Fax:
Mailing address:
  • Phone: 757-524-1593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LISA OZOWARA
Title or Position: OWNER
Credential: MA.ED BCBA LBA
Phone: 757-524-1593