Abundant Life Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104100000X Issued in CT

Legal business name

ABUNDANT LIFE CENTER

Practice address

2550 Main St
Hartford, CT 06120-1936

Phone

(860) 548-9399

NPI assigned

Jun 8, 2009

Last updated

Apr 16, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Troy Moses, PRESINDENT

Title

Ceo

Phone

(860) 548-9399

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1174759963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061420714",
            "telephone_number": "860-548-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MAIN ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201936",
            "telephone_number": "860-548-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-548-9399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESINDENT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "104100000X",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CT",
            "license": "001806",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haben Abraham, LCSW
• Charles Abrams, MD
• Jonathan Abrams, MD
• Alexis Abreu
• Lauren L Abric, LPC, ATR, BCPC
• Abundant Life Family Center
• Louisa Rae Acca, PA-C
• Access Greenadine LLC
• Access Healthcare PC
• Accurate Health Care LLC

• Clinical Social Worker in Hartford, CT
• Providers in Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.