AGAPE YOUTH BEHAVIORAL HEALTH (NPI# 1528405925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528405925 |
| Entity Type | Organization |
| Organization Name | AGAPE YOUTH BEHAVIORAL HEALTH |
| Practice Address |
7446 Shallowford Rd Suite 104 Chattanooga TN 37421-8815 |
| Mailing Address |
1250 Owl Hollow Rd Mc Donald TN 37353-4963 |
| Practice Telephone | 4236508843 |
| Mailing Telephone | 4236508843 |
| Enumeration Date | 2013-05-27 |
| Last Update Date | 2013-05-27 |
| Authorized Official Name | MARK O JENNINGS (OWNER) |
| Authorized Official Telephone | 4236508843 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
31714 | TN | Ambulatory Health Care Facilities |
| Street Address |
7446 SHALLOWFORD RD SUITE 104 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-8815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325934 | Synthia L Beeler | Family Medicine | 7446 Shallowford Rd, Ste 200, Chattanooga, TN 37421-8815 | 2005-06-09 |
| 1215481023 | Mark Anthony Dugger | Nurse Practitioner | 7446 Shallowford Rd, Suite 114, Chattanooga, TN 37421-8815 | 2016-08-09 |
| 1942605100 | Tennessee Behavioral Therapy | Community/Behavioral Health | 7446 Shallowford Rd, 116, Chattanooga, TN 37421-8815 | 2014-10-30 |
| 1316355670 | Jenni Davis, Bcba | Early Intervention Provider Agency | 7446 Shallowford Rd, Suite 104, Chattanooga, TN 37421-8815 | 2014-07-30 |
| 1861732562 | Apple Medical Associates PC | Family Medicine | 7446 Shallowford Rd, Suite 101, Chattanooga, TN 37421-8815 | 2013-02-18 |
| 1972859254 | Practice Managers, LLC | Physical Therapist | 7446 Shallowford Rd, Suite 101, Chattanooga, TN 37421-8815 | 2012-07-24 |
| 1528331808 | Apple Chiropractic | Chiropractor | 7446 Shallowford Rd, Suite 101, Chattanooga, TN 37421-8815 | 2012-02-16 |
| 1881962348 | Center for Spine and Pain Medicine PC | Clinic/Center | 7446 Shallowford Rd, Suite 102, Chattanooga, TN 37421-8815 | 2011-12-12 |
| 1871887430 | Pm Pediatric Holdings, LLC | Pediatrics | 7446 Shallowford Rd, Ste. 103, Chattanooga, TN 37421-8815 | 2011-06-01 |
| 1962717827 | Laura A Edrington | Nurse Practitioner | 7446 Shallowford Rd, #104, Chattanooga, TN 37421-8815 | 2010-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265509137 | New Beginnings Counseling Center Pllc | Clinic/Center | One Northgate Pk, Ste 201, Chattanooga, TN 37415 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661941 | A Hope and A Future, Inc. | Clinic/Center | 2932 Altruria Rd, Bartlett, TN 38134-3862 | 2020-08-25 |
| 1972120426 | Joybridge LLC | Clinic/Center | 1018 Gateway Ln, Nashville, TN 37220-1006 | 2020-07-01 |
| 1235773748 | Counseling and Forensic Services | Clinic/Center | 481 Leeper Pkwy Ste 6&7, Lenoir City, TN 37772-6174 | 2019-10-29 |
| 1730425240 | Cresco Care LLC | Clinic/Center | 9465 Homewood Cir, Ooltewah, TN 37363-5105 | 2013-01-02 |
| 1174804421 | Behavioral Insights | Clinic/Center | 6216 Lonas Dr, Knoxville, TN 37909-3235 | 2011-08-31 |
| 1235298720 | Frontier Health | Clinic/Center | 1003 N Broadway St, Johnson City, TN 37601-2722 | 2006-12-08 |
| 1326147331 | Upper East Tn Regional Juvenile Detention Center | Clinic/Center | 307 Wesley St, Johnson City, TN 37601-1721 | 2006-09-22 |
| 1487666806 | Psychiatric Services, Inc. | Clinic/Center | 108 Glenleigh Ct, Suite 2, Knoxville, TN 37934-3038 | 2006-08-13 |
| 1497362883 | Next Level Counseling, Pllc | Clinic/Center | 1716 Memorial Dr, Clarksville, TN 37043-4542 | 2020-09-29 |
| 1730740309 | Minds Matter | Clinic/Center | 1989 Madison St, Clarksville, TN 37043-5067 | 2019-06-25 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.