Organization
ABUNDANT LIFE COMMUNITY SUPPORT SERVICES
Active
Other names
Abundant Life Community Support Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHEL LASSITER HS-BCP (CEO)
(719) 246-0170
Entity
Organization
Contact information
Practice address
76 S SIERRA MADRE ST., SUITE L, COLORADO SPRINGS, CO 80903-3399
(719) 246-0170
Mailing address
76 S SIERRA MADRE ST., SUITE L, COLORADO SPRINGS, CO 80903-3399
(719) 246-0170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
305R00000X
Preferred Provider Organization
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/09/2024
Last updated
08/29/2025
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