Healthcare Provider Details

I. General information

NPI: 1194645606
Provider Name (Legal Business Name): ABUNDANT PEACE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 N NAVAJO DR STE A3
PRESCOTT VALLEY AZ
86314-8654
US

IV. Provider business mailing address

3467 N DALE DR
PRESCOTT VALLEY AZ
86314-8206
US

V. Phone/Fax

Practice location:
  • Phone: 602-930-2605
  • Fax:
Mailing address:
  • Phone: 602-930-2605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MACIAS
Title or Position: OWNER/THERAPIST
Credential: MS, LPC
Phone: 602-930-2605