Agape Counseling Center LLC

NPI #1063744662 in Windom, Minnesota

Provider Information

NPI Number: 1063744662
Entity Type: Organization
Organization Name: Agape Counseling Center LLC
Primary Specialty: Psychologist
Enumeration Date: Feb 6, 2010
Last Updated: Feb 6, 2010

Practice Location

Address: 305 9TH ST
City: Windom
State: Minnesota
ZIP Code: 56101-1658
Phone: (507) 832-8033

Authorized Official

Name: DR. MYRA JEAN HECKENLAIBLE-GOTTO, LP
Title: LICENSED PSYCHOLOGIST
Phone: (507) 822-3177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Psychologist	103T00000X	Primary

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