| NPI | 1750552915 |
|---|---|
| Former Legal Business Name | ABUNDANT LIFE COUNSELING SERVICE, INC. |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L JOHNSON Licensed Clinical Social Worker 615-371-6107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000004454) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2010-07-23 |