| Abundant Life Counseling Llc | |
|
2445 Sw Wanamaker Rd Ste 204 Topeka KS 66614-5470 | |
| (316) 253-6026 | |
| Not Available |
| Full Name | Abundant Life Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2445 Sw Wanamaker Rd Ste 204, Topeka, Kansas |
| Authorized Official Name and Position | Angelica Pearce (OWNER) |
| Authorized Official Contact | 7852608570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Counseling Llc 2445 Sw Wanamaker Rd Ste 204 Topeka KS 66614-5470 Ph: (785) 260-8570 | Abundant Life Counseling Llc 2445 Sw Wanamaker Rd Ste 204 Topeka KS 66614-5470 Ph: (316) 253-6026 |
| NPI Number | 1467062836 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 01/05/2021 |
| Certification Date | 01/05/2021 |
| Medicare PECOS PAC ID | 6901224021 |
|---|---|
| Medicare Enrollment ID | O20200825002068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467062836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Troy M Fay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083872097 PECOS PAC ID: 6103043971 Enrollment ID: I20140819001376 |
| Provider Name | Porscha Jean Oesterreich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831454669 PECOS PAC ID: 3476925744 Enrollment ID: I20230214002882 |
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