Abundant Living Psychological And Coaching Services
Early Intervention Provider Agency in Lexington, KY. Organization (NPI-2).
NPI number1922464452
StatusActive
Last updated in NPPESMar 11, 2025
Details
- NPI
- 1922464452
- Entity type
- Organization (NPI-2)
- Legal business name
- Abundant Living Psychological And Coaching Services
- Organization subpart
- No
- Enumeration date
- Jan 13, 2016
- Certification date
- Mar 11, 2025
- Last updated
- Mar 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- Abundant Living Psychological And Coaching Services For Children And Adolescents (Former Legal Business Name)
Practice location
424 Lewis Hargett Cir Rm 213Lexington, KY 40503-3688
Phone 859-208-5964
Mailing address
2805 Jenna RstLexington, KY 40511-8878
Other practice locations
2805 Jenna Rst
Lexington, KY 40511-8878
Lexington, KY 40511-8878
Phone 859-229-6823
Authorized official
Shambra Mulder
Owner
8592296823
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