| NPI | 1225672983 |
|---|---|
| Former Legal Business Name | ANDERSON AGAPE COUNSELING SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | TAMMY D ANDERSON Therapist 850-624-4073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |