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ABUNDANT LIFE LLC NPI 1205596715


NPI Information

NPI: 1205596715
Provider Name: ABUNDANT LIFE LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
10026 E 21ST STREET STE 15
INDIANAPOLIS, IN
ZIP 46229
Phone: (317) 943-1101
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ABUNDANT LIFE LLC is a clinical social worker in Indianapolis, IN. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. ABUNDANT LIFE LLC NPI is 1205596715. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10026 E 21ST STREET STE 15
INDIANAPOLIS, IN
ZIP 46229-802
Phone: (317) 943-1101

The provider's authorized official is Crimsetta Lajeanna Dunn .
The authorized official title is Owner and has the following contact phone number (317) 493-9309.

The enumeration date for this NPI number is 12/23/2021 and was last updated on 12/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2101YP1600XCounselorPastoralNo
3101YP2500XCounselorProfessionalNo
4104100000XSocial WorkerNo
51041C0700XSocial WorkerClinicalYes
6171M00000XCase Manager/Care CoordinatorNo
7251S00000XCommunity/Behavioral HealthNo
8174H00000XHealth EducatorNo
9374K00000XReligious Nonmedical PractitionerNo
10171400000XHealth and Wellness CoachNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.