Organization
ABUNDANT LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRIMSETTA LAJEANNA DUNN LCSW (OWNER)
(317) 493-9309
Entity
Organization
Contact information
Practice address
10026 E 21ST STREET STE 15, INDIANAPOLIS, IN 46229-1802
(317) 943-1101
Mailing address
10026 E 21ST STREET STE 15, INDIANAPOLIS, IN 46229-1802
(317) 943-1101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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