Abundant Life Family Therapy Pllc

LBN: Abundant Life Family Therapy Pllc
Abundant Life Family Therapy Pllc is an health care organization with primary practice located at 10316 Greenbriar Pl Ste 1 , Oklahoma City OK 73159-7649. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Abundant Life Family Therapy Pllc can be contacted via phone (405) 313-8452, or through Thompson, Jesse David via phone (405) 313-8452.

Contact Information

Primary practice address
10316 Greenbriar Pl Ste 1 Oklahoma City OK 73159-7649
Phone: (405) 313-8452
Fax: (844) 272-6181
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Jesse David LMFT, SAP
Phone: (405) 313-8452

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1841712593
LBN Legal business name Abundant Life Family Therapy Pllc
DBA Doing business as
Authorized official Thompson, Jesse David LMFT, SAP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841712593 NPPES
Oklahoma MEDICAID 1710299250
Oklahoma MEDICAID 1104165174

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