Organization
ABOUNDING LIFE COUNSELING AND SUPPORT, LLC
Active
Other names
Abundant Living Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS B. REED PMH-APRN-BC (MENTAL HEALTH NURSE PRACTIONER)
(859) 391-6046
Entity
Organization
Contact information
Practice address
265 FERNWOOD DR, WILLIAMSTOWN, KY 41097-4203
(859) 391-6046
Mailing address
265 FERNWOOD DR, WILLIAMSTOWN, KY 41097-4203
(859) 391-6046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3005009
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11663359
CAQH
KY
05
—
78018033
—
KY
Enumeration date
06/15/2015
Last updated
06/15/2015
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