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General NPI Number Information
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NPI Number | 1831304435
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Entity Type | Organization
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Legal Business Name | AGAPE COUNSELING & TRAINING SERVICES OF THE LOW COUNTRY, INC.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 09/10/2008
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Provider Practice Location Address
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Address Line | 50 POPE AVE
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City | HILTON HEAD
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State | SC
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Zip | 29928-4726
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Country | US
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Telephone | 843-785-4099
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Fax | 843-785-2359
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Provider Business Mailing Address
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Address Line | 50 POPE AVE
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City | HILTON HEAD
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State | SC
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Zip | 29928-4726
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Country | US
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Telephone | 843-785-4099
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Fax | 843-785-2359
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SHARON KENNY SMITH
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Credential | LMFT
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Telephone | 843-785-4099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3692
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License Number State | SC
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