Abundant Life Family Therapy Pllc
LBN: Abundant Life Family Therapy Pllc
Abundant Life Family Therapy Pllc is an health care organization with primary practice located at 10316 Greenbriar Pl Ste 1 , Oklahoma City OK 73159-7649. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Abundant Life Family Therapy Pllc can be contacted via phone (405) 313-8452, or through Thompson, Jesse David via phone (405) 313-8452.
Contact Information
Primary practice address
10316 Greenbriar Pl Ste 1
Oklahoma City OK 73159-7649
Phone: (405) 313-8452
Fax: (844) 272-6181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1841712593 |
|---|---|
| LBN Legal business name | Abundant Life Family Therapy Pllc |
| DBA Doing business as | |
| Authorized official | Thompson, Jesse David LMFT, SAP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2017 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841712593 | NPPES |
| Oklahoma | MEDICAID | 1710299250 | |
| Oklahoma | MEDICAID | 1104165174 |
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