Organization · NPI-2

Abundant Life Mental Health & Wellness

Clinic/Center, Mental Health (Including Community Mental Health Center) · Easton, MD

NPI number1689249823
StatusActive
Last updated in NPPESJan 21, 2026

Details

NPI
1689249823
Entity type
Organization (NPI-2)
Legal business name
Abundant Life Mental Health & Wellness
Organization subpart
No
Enumeration date
May 20, 2021
Certification date
Jan 21, 2026
Last updated
Jan 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Abundant Life Mental Health & Wellness (Doing Business As)

Practice location

129 N West St Ste 12
Easton, MD 21601-2774

Phone 443-494-8114

Mailing address

129 N West St Ste 12
Easton, MD 21601-2774

Phone 443-494-8114

Authorized official

Lorri T King
Psychiatric Mental Health NP
4434948114

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