# ABUNDANT LIFE TOTAL WELLNESS LLC

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

## Provider details

- **NPI number:** 1801669478
- **Authorized official:** SYBIL D WISE (FOUNDER)
- **Authorized official phone:** (614) 592-3010

## Contact information

- **Practice address:** 4200 REGENT ST, COLUMBUS, OH 43219-6229
- **Practice address phone:** (877) 868-8777
- **Practice address fax:** (740) 365-1105
- **Mailing address:** 2581 COLTS NECK RD, BLACKLICK, OH 43004-9649
- **Mailing address phone:** (614) 592-3010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2023
- **Last updated:** 07/05/2024