Organization
LIFE OF ABUNDANCE BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE EJIM LCPC (CEO/DIRECTOR)
(443) 721-7574
Entity
Organization
Contact information
Practice address
7544 HOLABIRD AVE, DUNDALK, MD 21222-2104
(443) 721-7574
Mailing address
1281 SUGARWOOD CIR, ESSEX, MD 21221-5447
(443) 721-7574
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
11/04/2019
Last updated
05/27/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us