Healthcare Provider Details

I. General information

NPI: 1891690947
Provider Name (Legal Business Name): AGAPE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6712 W HOWARD AVE
MILWAUKEE WI
53220-1808
US

IV. Provider business mailing address

6712 W HOWARD AVE
MILWAUKEE WI
53220-1808
US

V. Phone/Fax

Practice location:
  • Phone: 414-275-4185
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: RITA GILPATRICK
Title or Position: PMHNP
Credential: NP
Phone: 414-712-2456