| Agape Counseling Center Llc | |
|
175 S Main St Centerville OH 45458-2372 | |
| (937) 434-0540 | |
| (937) 434-6726 |
| Full Name | Agape Counseling Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 175 S Main St, Centerville, Ohio |
| Authorized Official Name and Position | Sarah Sue Plassman (CLINICAL SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 9374164208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Counseling Center Llc 175 S Main St Centerville OH 45458-2372 Ph: (937) 434-0540 | Agape Counseling Center Llc 175 S Main St Centerville OH 45458-2372 Ph: (937) 434-0540 |
| NPI Number | 1386272151 |
|---|---|
| Provider Enumeration Date | 03/29/2020 |
| Last Update Date | 03/29/2020 |
| Certification Date | 03/29/2020 |
| Medicare PECOS PAC ID | 4880024843 |
|---|---|
| Medicare Enrollment ID | O20200602002267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386272151 | NPI | - | NPPES |
| Provider Name | Ruth E Kauffold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447264833 PECOS PAC ID: 1456386036 Enrollment ID: I20051003000407 |
| Provider Name | Paul D Entner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225055965 PECOS PAC ID: 8820021140 Enrollment ID: I20080122000326 |
| Provider Name | Sarah S Plassman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154675254 PECOS PAC ID: 5496176232 Enrollment ID: I20200604002156 |
| Provider Name | Molly K Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164908166 PECOS PAC ID: 7618300146 Enrollment ID: I20240129004421 |
| Provider Name | Stephanie Hope Billingsley Ezea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487027595 PECOS PAC ID: 7214370592 Enrollment ID: I20240205001106 |
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