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General NPI Number Information
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NPI Number | 1922946235
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Entity Type | Organization
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Legal Business Name | ABUNDANTLY WELL COUNSELING LLC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 101 N MAIN ST
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City | HENDERSON
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State | KY
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Zip | 42420-3101
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Country | US
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Telephone | 270-302-7870
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Fax |
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Provider Business Mailing Address
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Address Line | 101 N MAIN ST
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City | HENDERSON
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State | KY
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Zip | 42420-3101
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Country | US
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Telephone | 270-302-7870
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | JAMA PHILLIPS
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Credential | LLC
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Telephone | 270-302-7870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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