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Organization
MY ABUNDANT LIFE THERAPY
Active
Organization
MY ABUNDANT LIFE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BAUMAN LCSW, CADC, CODP-1 (CO-FOUNDER)
(630) 426-9437
Entity
Organization
Contact information
Practice address
3534 CLARENCE AVE, BERWYN, IL 60402-3855
(312) 330-2561
Mailing address
680 NORTH LAKE SHORE DRIVE SUITE 110 - 1993, CHICAGO, IL 60611
(312) 330-2561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/25/2025
Last updated
08/28/2026
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