Abundant Life Holistic Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ABUNDANT LIFE HOLISTIC WELLNESS

Practice address

653 Skippack Pike Ste 300-35
Blue Bell, PA 19422-1742

Phone

(215) 948-9454

NPI assigned

Oct 30, 2023

Last updated

Apr 10, 2025By 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

Disheena M Thomas, LPCNPI 1205542917

Title

Ceo

Phone

(267) 252-8102

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Disheena Marie Thomas, LPC

  • Mental Health Counselor
  • Blue Bell, PA
  • NPI 1205542917
  NPD Authorized official
• Quiana Natasha Watson

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1487491130
  NPD (past)

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1730952037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LIMEKILN PIKE STE B19",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251503",
            "telephone_number": "215-948-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 SKIPPACK PIKE STE 300-35",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221742",
            "telephone_number": "215-948-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE HOLISTIC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DISHEENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-252-8102",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.