Provider Demographics
NPI:1508987298
Name:ABUNDANT LIVING COUNSELING AND MINISTRIES
Entity Type:Organization
Organization Name:ABUNDANT LIVING COUNSELING AND MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COUNSELING
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:R
Authorized Official - Last Name:FELIX
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LMHP
Authorized Official - Phone:402-614-2256
Mailing Address - Street 1:2505 N 24TH ST STE 115
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-2279
Mailing Address - Country:US
Mailing Address - Phone:402-614-2256
Mailing Address - Fax:402-614-2204
Practice Address - Street 1:2505 N 24TH ST STE 115
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-2279
Practice Address - Country:US
Practice Address - Phone:402-614-2256
Practice Address - Fax:402-614-2204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2730101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty