| Agape Psych Services, Pllc | |
|
120 W 2nd St Ste 400 Dayton OH 45402-1602 | |
| (937) 329-1298 | |
| (817) 394-5075 |
| Full Name | Agape Psych Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 120 W 2nd St Ste 400, Dayton, Ohio |
| Authorized Official Name and Position | James Wesley Manuel (OWNER) |
| Authorized Official Contact | 9373291298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Psych Services, Pllc 4800 Spring Lake Pkwy Mansfield TX 76063-5593 Ph: (937) 329-1298 | Agape Psych Services, Pllc 120 W 2nd St Ste 400 Dayton OH 45402-1602 Ph: (937) 329-1298 |
| NPI Number | 1982032330 |
|---|---|
| Provider Enumeration Date | 10/23/2013 |
| Last Update Date | 07/07/2025 |
| Certification Date | 07/07/2025 |
| Medicare PECOS PAC ID | 4284947896 |
|---|---|
| Medicare Enrollment ID | O20250430000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982032330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0814X | Psychologist - Psychoanalysis | (* (Not Available)) | Primary |
| Provider Name | James W Manuel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982849352 PECOS PAC ID: 8325171036 Enrollment ID: I20100802000815 |
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