Abundant Living Psychological and Coaching Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ABUNDANT LIVING PSYCHOLOGICAL AND COACHING SERVICES

Practice address

424 Lewis Hargett Cir RM 213
Lexington, KY 40503-3688

Phone

(859) 208-5964

NPI assigned

Jan 13, 2016

Last updated

Mar 11, 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

Dr. Shambra MulderNPI 1992185565

Title

Owner

Phone

(859) 229-6823

Specialties & licenses 3

Addresses

Other names 1

• Abundant Living Psychological and Coaching Services for Children and Adolescents Former legal business name

Locations

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.

• Shambra Mulder, PHD

  • Psychologist
  • Lexington, KY
  • NPI 1992185565
  NPD Authorized official

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1922464452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 JENNA RST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 LEWIS HARGETT CIR RM 213",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033688",
            "telephone_number": "859-208-5964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 Jenna Rst",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405118878",
            "country_code": "US",
            "telephone_number": "859-229-6823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABUNDANT LIVING PSYCHOLOGICAL AND COACHING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "MULDER",
        "authorized_official_first_name": "SHAMBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-229-6823",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Living Psychological and Coaching Services for Children and Adolescents",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Elie Giryes Abu Jawdeh, M.D
• Bassam Abu-Khalil, MD
• James Bassam Abu-Rahmeh
• Arwa Abualsoud, D.M.D
• Abundant Living Medical Clinic
• Access Wellness Group
• Accessible Home Health Care of the Bluegrass
• Kishor Acharya, MD
• Jessica L Acker, APRN
• Robert Acker III

• Early Intervention Provider Agency in Lexington, KY
• Providers in Lexington, KY by specialty
• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.