Abundant Life Counseling and Wellness Group
Organization Active NPI Community/Behavioral Health Agency · Dixon, IL
NPI 1194385401 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1194385401
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ABUNDANT LIFE COUNSELING AND WELLNESS GROUP
- Practice address
- 905 Walton Rd
Dixon, IL 61021-8347 - Phone
- (815) 274-1293
- NPI assigned
- Jun 18, 2019
- Organization subpart
- No
Authorized official
- Name
- Ms. Kimberly S Devos, LCPC
- Title
- President
- Phone
- (815) 274-1283
Practitioners 1
-
Kimberly S Devos, LCPC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
905 Walton Rd
Dixon, IL 61021-8347
Mailing address
905 Walton Rd
Dixon, IL 61021-8347
Phone (815) 274-1293
Other providers in Dixon, IL
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- A Brush With Dentistry, P.C.
- Alejandro Aburto-Rodriguez
- Andrew E Accardi
- Corrinne Elizabeth Ackman
- Adult Education Associates
- Advance EMS of Dixon, Inc.
All providers in Dixon, IL · Community/Behavioral Health Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.