Healthcare Provider Details

I. General information

NPI: 1932718962
Provider Name (Legal Business Name): ABUNDANT HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2020
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E. MARKET ST. OFC
HALIAM PA
17406
US

IV. Provider business mailing address

5939 LINGLESTOWN ROAD 2ND FLOOR
HAMSBURG PA
17112
US

V. Phone/Fax

Practice location:
  • Phone: 717-650-1051
  • Fax: 678-807-5415
Mailing address:
  • Phone: 717-407-3939
  • Fax: 888-830-7901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. LISA MACAPITO GUATUNANICH NYABINGHI
Title or Position: CEO
Credential: PSYD
Phone: 717-407-3939