Abundant Life Counseling LLC
Social Worker, Clinical in Waterbury, Connecticut
1467998674- Practice location
- 21 W Main St Fl 4, Waterbury, CT 06702-2013
- Phone
- 203-317-3333
- Fax
- 203-841-0304
- Last updated
- November 28, 2023
Abundant Life Counseling LLC is a healthcare organization based in Waterbury, CT. Abundant Life Counseling LLC practices in Waterbury, CT. The NPI Number for Abundant Life Counseling LLC is 1467998674 and holds a License No. 008874 (CT). The current practice location address for Abundant Life Counseling LLC is 21 W Main St Fl 4, Waterbury, CT 06702-2013 and can be reached out via phone at 203-317-3333 and via fax at 203-841-0304.
Provider Profile Details
- NPI Number
- 1467998674
- Provider Name
- Abundant Life Counseling LLC
- Provider Entity Type
- Organization
- Address
- 21 W Main St Fl 4, Waterbury, CT 06702-2013
- Phone Number
- 203-317-3333
- Fax Number
- 203-841-0304
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Lillian Lashae Outlaw, LCSW · Owner · 203-317-3333
- Provider Enumeration Date
- January 11, 2017
- Last Update Date
- November 28, 2023
- Certification Date
- November 28, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 W Main St Fl 4
Waterbury, CT 06702-2013 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-2013
- Phone Number
- 203-317-3333
- Fax Number
- 203-841-0304
Provider Business Mailing Address Details
- Address
- 21 W Main St Fl 4
Waterbury, CT 06702-2013 - City
- Waterbury
- State
- CT
- Zip
- 06702-2013
- Phone Number
- 203-317-3333
License Information
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (2)
- Counselor, Professional · 101YP2500X
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X
- License Number (4)
- 008874
- License State (4)
- CT
- Taxonomy (4)
- Community/Behavioral Health · 251S00000X
- Taxonomy (5)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (6)
- 008874
- License State (6)
- CT
- Taxonomy (6)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Counseling LLC?
The NPI number of Abundant Life Counseling LLC is 1467998674. It was assigned on January 11, 2017 and is currently active in the NPPES registry.
What is the specialty of Abundant Life Counseling LLC?
Abundant Life Counseling LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 008874.
Where does Abundant Life Counseling LLC practice?
The practice location is 21 W Main St Fl 4, Waterbury, CT 06702-2013. The office can be reached at 203-317-3333 (phone) or 203-841-0304 (fax).
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 1467998674 directly on the NPPES registry website.