Abundant Life Therapy, LLC

NPI #1205314754 in Loveland, Colorado

Provider Information

NPI Number: 1205314754
Entity Type: Organization
Organization Name: Abundant Life Therapy, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Aug 6, 2018
Last Updated: Sep 1, 2020

Practice Location

Address: 1401 S TAFT AVE STE 206
City: Loveland
State: Colorado
ZIP Code: 80537-6962
Phone: (307) 274-4398

Authorized Official

Name: DEBRA WILSON
Title: BILLING
Phone: (307) 222-2013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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