| Abundant Life Counseling Service, Inc. | |
|
750 Old Hickory Blvd Two Brentwood Commons Suite 150 Brentwood TN 37027-4528 | |
| (615) 371-6107 | |
| (615) 369-6207 |
| Full Name | Abundant Life Counseling Service, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 750 Old Hickory Blvd, Brentwood, Tennessee |
| Authorized Official Name and Position | Cynthia L Johnson (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6153716107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Counseling Service, Inc. 750 Old Hickory Blvd Two Brentwood Commons Suite 150 Brentwood TN 37027-4528 Ph: (615) 371-6107 | Abundant Life Counseling Service, Inc. 750 Old Hickory Blvd Two Brentwood Commons Suite 150 Brentwood TN 37027-4528 Ph: (615) 371-6107 |
| NPI Number | 1750552915 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 07/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750552915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LSW0000004454 (Tennessee) | Primary |
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