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.
Organization
ABUNDANT LIFE FAMILY THERAPY PLLC
Active
Organization
ABUNDANT LIFE FAMILY THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE DAVID THOMPSON LMFT, SAP (OWNER)
(405) 313-8452
Entity
Organization
Contact information
Practice address
10316 GREENBRIAR PL STE 1, OKLAHOMA CITY, OK 73159-7649
(405) 313-8452
(844) 272-6181
Mailing address
10316 GREENBRIAR PL STE 1, OKLAHOMA CITY, OK 73159-7649
(405) 313-8452
(844) 272-6181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104165174
—
OK
05
—
1710299250
—
OK
Enumeration date
07/14/2017
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up