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General NPI Number Information
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NPI Number | 1295250546
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Entity Type | Organization
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Legal Business Name | ABUNDANT LIFE COUNSELING, LLC
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 12690 OPALOCKA DR
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City | CHESTERLAND
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State | OH
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Zip | 44026-2666
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Country | US
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Telephone | 440-724-5404
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Fax | 440-490-3395
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Provider Business Mailing Address
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Address Line | 13345 LAKEWOOD DR
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City | CHESTERLAND
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State | OH
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Zip | 44026-3534
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Country | US
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Telephone | 440-724-5404
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINCIAN
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Name | LEAH MARIE FELLENSTEIN
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Credential | LPPC-S
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Telephone | 440-724-5404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.0900653-SUPV
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License Number State | OH
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