Organization Name: | ABOUNDING LIFE COUNSELING AND SUPPORT, LLC |
NPI Number: | 1144601238 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHYLLIS B. REED (MENTAL HEALTH NURSE PRACTIONER) |
Mailing Address: | 265 Fernwood Dr Williamstown |
State: | KY US |
Postal Code: | 410974203 |
Phone Number: | 8593916046 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2015 |
NPI Last Update Date: | 06/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3005009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |