Abundant Life and Wellness Counseling Services, LLC
Organization Active NPI Mental Health Counselor · Severn, MD
NPI 1972088045 · NPPES record last updated Sep 25, 2018
Key facts
- NPI
- 1972088045
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- ABUNDANT LIFE AND WELLNESS COUNSELING SERVICES, LLC
- Practice address
- 1812 Encore Ter
Severn, MD 21144 - Phone
- (240) 856-4526
- NPI assigned
- Sep 25, 2018
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kamica Melissa Speaks, LCPC
- Title
- Co-Owner/Mental Health Clinician
- Phone
- (504) 453-8444
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
1812 Encore Ter
Severn, MD 21144
Mailing address
2657-G Annapolis Road
#297
Hanover, MD 21076
Phone (240) 856-4526
Other providers in Severn, MD
- Zekarias Fekadu Abessa
- Access Adult Care LLC
- Ace Healthcare Services LLC
- Lois Achu
- Ganiyat Adeyemo
- Advance Clinical Solutions Inc.
All providers in Severn, MD · Mental Health Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2018. 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.