Healthcare Provider Details

I. General information

NPI: 1568356707
Provider Name (Legal Business Name): ABUNDANTLY BLESSED CONSULTING & DEVELOPMENT FIRM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 06/04/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 VILLAGE ST STE D
SLIDELL LA
70458-5302
US

IV. Provider business mailing address

118 VILLAGE ST STE D
SLIDELL LA
70458-5302
US

V. Phone/Fax

Practice location:
  • Phone: 985-474-4273
  • Fax:
Mailing address:
  • Phone: 985-474-4273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LATOYIA PORTER
Title or Position: CEO
Credential:
Phone: 985-474-4273