Provider Demographics
NPI:1659165116
Name:A BLOUNTIFUL EXPERIENCE COUNSELING, COACHING, & CONSULTING
Entity type:Organization
Organization Name:A BLOUNTIFUL EXPERIENCE COUNSELING, COACHING, & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOUNT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC, LPC
Authorized Official - Phone:850-212-6582
Mailing Address - Street 1:835 E PARK AVE STE B
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-0404
Mailing Address - Country:US
Mailing Address - Phone:850-212-6582
Mailing Address - Fax:
Practice Address - Street 1:835 E PARK AVE STE B
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-0404
Practice Address - Country:US
Practice Address - Phone:850-212-6582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty