Organization Active NPI

Abundant Life Services LLC

  • Mental Health Counselor
  • Greenacres, WA
National Provider Identifier
1154721710
Registry record updated Sep 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60487878 Issued in WA
Legal business name
ABUNDANT LIFE SERVICES LLC
Practice address
1831 S Barker Rd
Greenacres, WA 99016-9762
Phone
(509) 951-2927
NPI assigned
Sep 1, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Molly Lynn Bove, LMHCNPI 1053706457
Title
Ccunselor
Phone
(509) 951-2927

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1831 S Barker Rd
Greenacres, WA 99016
Phone (509) 209-7269

17625 E Euclid Ave
Spokane Valley, WA 99216

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LH 60487878 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

1831 S Barker Rd
Greenacres, WA 99016-9762

Mailing address

17625 E Euclid Ave
Spokane Valley, WA 99216-1737
Phone (509) 951-2927

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 1, 2014.

{
    "created_epoch": "1409529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409529600000",
    "number": "1154721710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17625 E EUCLID AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161737",
            "telephone_number": "509-951-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 S BARKER RD",
            "city": "GREENACRES",
            "state": "WA",
            "postal_code": "990169762",
            "telephone_number": "509-951-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-01",
        "last_updated": "2014-09-01",
        "status": "A",
        "authorized_official_last_name": "BOVE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CCUNSELOR",
        "authorized_official_telephone_number": "509-951-2927",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60487878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.