Organization
ABUNDANT LIFE COUNSELING AND SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANIECE LANGLEY (OWNER)
(000) 000-0000
Entity
Organization
Contact information
Practice address
800 LEGION ST STE 101B, CONWAY, SC 29526-4825
(000) 000-0000
Mailing address
2405 FARMWOOD CIR, CONWAY, SC 29527-3128
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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