Active NPI
Abundant Health, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Harvey, LA
National Provider Identifier
1588023402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ABUNDANT HEALTH, INC.
- Practice address
- 1901 Manhattan Blvd
Building F, Suite 204
Harvey, LA 70058-3582 - Phone
- (504) 708-1738
- Fax
- (504) 603-2662
- NPI assigned
- Feb 19, 2016
- Last updated
- Oct 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patrice Allen
- Title
- Ceo
- Phone
- (504) 708-1738
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | LA |
Addresses
Primary practice location
1901 Manhattan Blvd
Building F, Suite 204
Harvey, LA 70058-3582
Mailing address
1901 Manhattan Blvd
Building F, Suite 204
Harvey, LA 70058-3582
Phone (504) 708-1738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265748693 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Abundant Health Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Slidell, LA
- NPI 1265748693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698624000000",
"number": "1588023402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 MANHATTAN BLVD",
"address_2": "BUILDING F, SUITE 204",
"city": "HARVEY",
"state": "LA",
"postal_code": "700583582",
"telephone_number": "504-708-1738",
"fax_number": "504-603-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 MANHATTAN BLVD",
"address_2": "BUILDING F, SUITE 204",
"city": "HARVEY",
"state": "LA",
"postal_code": "700583582",
"telephone_number": "504-708-1738",
"fax_number": "504-603-2662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABUNDANT HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-19",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "PATRICE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "504-708-1738",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "LA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265748693",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.