| NPI | 1922464452 |
|---|---|
| Former Legal Business Name | ABUNDANT LIVING PSYCHOLOGICAL AND COACHING SERVICES FOR CHILDREN AND ADOLESCENTS |
| Entity Type | Organization |
| Authorized Contact | SHAMBRA MULDER Owner 859-229-6823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2025-03-11 |