| Abundant Hope Integrated Solutions, Llc | |
|
1338 W Forest Meadows St Ste 140 Flagstaff AZ 86001-7226 | |
| (928) 212-8621 | |
| (928) 326-9114 |
| Full Name | Abundant Hope Integrated Solutions, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1338 W Forest Meadows St Ste 140, Flagstaff, Arizona |
| Authorized Official Name and Position | Sheila Babendir (OWNER) |
| Authorized Official Contact | 9282128621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Hope Integrated Solutions, Llc 1338 W Forest Meadows St Ste 140 Flagstaff AZ 86001-7226 Ph: (928) 212-8621 | Abundant Hope Integrated Solutions, Llc 1338 W Forest Meadows St Ste 140 Flagstaff AZ 86001-7226 Ph: (928) 212-8621 |
| NPI Number | 1568195311 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 8628450962 |
|---|---|
| Medicare Enrollment ID | O20220802003183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568195311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sheila Marie Babendir |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548347321 PECOS PAC ID: 5395965974 Enrollment ID: I20240122003339 |
| Provider Name | Sean Reed Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285123315 PECOS PAC ID: 4385097518 Enrollment ID: I20240124002058 |
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