Organization
ABUNDANT LIFE COMMUNITY SUPPORT SERVICES
Active
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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