Life Abundant Center
LBN: Life Abundant Center
Life Abundant Center is an health care organization with primary practice located at 1830 Destiny Ln Suite105, Bowling Green KY 42104-1087. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Life Abundant Center can be contacted via phone (270) 792-9683, or through Wall, Jamie Elizabeth via phone (270) 792-9683.
Contact Information
Primary practice address
1830 Destiny Ln Suite105
Bowling Green KY 42104-1087
Phone: (270) 792-9683
Fax:
Website:
Authorized official contact:
Name: Wall, Jamie Elizabeth Licensed Clinical Social Worker (LCSW)
Phone: (270) 792-9683
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3483 | Kentucky |
Profile Details
| NPI number | 1063965242 |
|---|---|
| LBN Legal business name | Life Abundant Center |
| DBA Doing business as | |
| Authorized official | Wall, Jamie Elizabeth Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 25th, 2016 |
| Last updated | Jul 25th, 2016 - about 10 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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