Organization
LIFE ABUNDANTLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THADDEUS WILLIAMS (FOUNDER)
(984) 500-7338
Entity
Organization
Contact information
Practice address
5825 TRIANGLE DR STE 216, RALEIGH, NC 27617-4892
(833) 216-0366
(833) 505-3325
Mailing address
5825 TRIANGLE DR STE 216, RALEIGH, NC 27617-4892
(833) 216-0366
(833) 505-3325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/26/2024
Last updated
09/26/2025
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