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General NPI Number Information
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NPI Number | 1063424901
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Entity Type | Organization
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Legal Business Name | AGAPE COUNSELING & TRAINING SERVICES
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5000 THURMOND MALL SUITE 115
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City | COLUMBIA
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State | SC
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Zip | 29201
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Country | US
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Telephone | 803-779-2777
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Fax | 803-779-2610
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Provider Business Mailing Address
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Address Line | 5000 THURMOND MALL SUITE 115
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City | COLUMBIA
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State | SC
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Zip | 29201
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Country | US
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Telephone | 803-779-2777
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Fax | 803-779-2610
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Authorized Official
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Title or Position | PRES
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Name | MRS. SHERYL MIMS WILLIAMS
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Credential | LPC
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Telephone | 803-779-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1372
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License Number State | SC
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