Abundant Wellness, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

680190677 Issued in MI

Legal business name

ABUNDANT WELLNESS, PLLC

Practice address

23409 Jefferson Ave
Suite 100
Saint Clair Shores, MI 48080-3449

Phone

(586) 914-5914

Fax

(313) 458-7128

NPI assigned

Mar 18, 2014

Last updated

Mar 18, 2014By 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

Ms. Amy Lyn Lawrence, LCSWNPI 1801237789

Title

Owner

Phone

(586) 914-5914

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Lyn Lawrence, LLMSW

  • Social Worker
  • Grosse Pointe Woods, MI
  • NPI 1801237789
  NPD (past) Authorized official

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1508282336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 CRESCENT LN",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362701",
            "telephone_number": "586-914-5914",
            "fax_number": "313-458-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23409 JEFFERSON AVE",
            "address_2": "SUITE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803449",
            "telephone_number": "586-914-5914",
            "fax_number": "313-458-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-914-5914",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "680190677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ability Assessments, PC
• Eva Abiragi, PA-C
• Marie F Abiragi, M.D.
• Victor Abiragi, MD
• Able Hearts Care LLC
• Florence Arabia P Acebedo, FNP-C
• Katelyn Adams, MA LLPC
• Severia Adolphus, NURSE PRACTITIONER
• Advance Spine & Pain
• Advanced Physical Medicine, P.C.

• Clinical Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.