Active NPIOrganization

Abundant Life Center

Social Worker, Clinical in Hartford, Connecticut

NPI Number1174759963
Practice location
2550 Main St, Hartford, CT 06120-1936
Fax
—
Last updated
April 16, 2013

Abundant Life Center is a healthcare organization based in Hartford, CT. Abundant Life Center practices in Hartford, CT. The NPI Number for Abundant Life Center is 1174759963 and holds a License No. 001806 (CT). The current practice location address for Abundant Life Center is 2550 Main St, Hartford, CT 06120-1936 and can be reached out via phone at 860-548-9399.

Provider Profile Details

NPI Number
1174759963
Provider Name
Abundant Life Center
Provider Entity Type
Organization
Address
2550 Main St, Hartford, CT 06120-1936
Phone Number
860-548-9399
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Mr. Troy Moses, PRESINDENT · Ceo · 860-548-9399
Provider Enumeration Date
June 8, 2009
Last Update Date
April 16, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
2550 Main St
Hartford, CT 06120-1936
Zip
06120-1936
Phone Number
860-548-9399
Hartford, CT 06120Get directions →

Provider Business Mailing Address Details

Address
Po Box 714
Hartford, CT 06142-0714
City
Hartford
State
CT
Zip
06142-0714
Phone Number
860-548-9399

License Information

License Number (1)
001806
License State (1)
CT
Taxonomy (1)
Community/Behavioral Health · 251S00000X
License Number (2)
001806
License State (2)
CT
Taxonomy (2)
Case Management · 251B00000X
License Number (3)
104100000x
License State (3)
CT
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Abundant Life Center?

The NPI number of Abundant Life Center is 1174759963. It was assigned on June 8, 2009 and is currently active in the NPPES registry.

What is the specialty of Abundant Life Center?

Abundant Life Center is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 001806.

Where does Abundant Life Center practice?

The practice location is 2550 Main St, Hartford, CT 06120-1936. The office can be reached at 860-548-9399 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174759963 directly on the NPPES registry website.

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