Organization · NPI-2
Abundant Living, PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Raleigh, NC
NPI number1194534693
StatusActive
Last updated in NPPESOct 21, 2025
Details
- NPI
- 1194534693
- Entity type
- Organization (NPI-2)
- Legal business name
- Abundant Living, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 31, 2024
- Certification date
- Oct 21, 2025
- Last updated
- Oct 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
4030 Wake Forest Rd Ste 349Raleigh, NC 27609-0010
Phone 919-335-8158
Mailing address
Po Box 97131Raleigh, NC 27624-7131
Other practice locations
8366 Six Forks Rd Ste 101
Raleigh, NC 27615-5084
Raleigh, NC 27615-5084
Phone 919-335-8158
Authorized official
Crematha Sutton
Clinical Social Worker
9193358158
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