Provider Demographics
NPI:1023431624
Name:ABUNDANT SOLUTIONS COUNSELING, LLC
Entity type:Organization
Organization Name:ABUNDANT SOLUTIONS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:FOLLETT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:321-301-4591
Mailing Address - Street 1:335 S PLUMOSA ST STE F
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-3567
Mailing Address - Country:US
Mailing Address - Phone:321-301-4591
Mailing Address - Fax:321-301-4589
Practice Address - Street 1:335 S PLUMOSA ST STE F
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-3567
Practice Address - Country:US
Practice Address - Phone:321-301-4591
Practice Address - Fax:321-301-4589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2050106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty