# ABUNDANT LIFE AGENCY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073869459
- **Authorized official:** MRS. JOHANN ANDREA RICHARDSON (SERVICE COORDINATOR)
- **Authorized official phone:** (718) 735-7151

## Contact information

- **Practice address:** 827 CLARKSON AVE, BROOKLYN, NY 11203-2256
- **Practice address phone:** (718) 735-7151
- **Practice address fax:** (718) 735-7141
- **Mailing address:** 827 CLARKSON AVE, BROOKLYN, NY 11203-2256
- **Mailing address phone:** (718) 735-7151
- **Mailing address fax:** (718) 735-7141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 21900 | NY | Yes |

## Other

- **Enumeration date:** 08/03/2012
- **Last updated:** 08/03/2012