Provider Demographics
NPI:1467062836
Name:ABUNDANT LIFE COUNSELING
Entity Type:Organization
Organization Name:ABUNDANT LIFE COUNSELING
Other - Org Name:ABUNDANT LIFE COUNSELING LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARCE
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT
Authorized Official - Phone:785-260-8570
Mailing Address - Street 1:2445 SW WANAMAKER RD STE 204
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-5470
Mailing Address - Country:US
Mailing Address - Phone:785-260-8570
Mailing Address - Fax:785-409-6666
Practice Address - Street 1:2445 SW WANAMAKER RD STE 204
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5470
Practice Address - Country:US
Practice Address - Phone:316-253-6026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty