Organization
ABUNDANT LIVING PSYCHOLOGICAL AND COACHING SERVICES
Active
Other names
Abundant Living Psychological and Coaching Services for Children and Adolescents
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMBRA MULDER (OWNER)
(859) 229-6823
Entity
Organization
Contact information
Practice address
424 LEWIS HARGETT CIR RM 213, LEXINGTON, KY 40503-3688
(859) 208-5964
Mailing address
2805 JENNA RST, LEXINGTON, KY 40511-8878
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/13/2016
Last updated
03/11/2025
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