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General NPI Number Information
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NPI Number | 1992691539
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Entity Type | Organization
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Legal Business Name | ABUNDANT LIFE COUNSELING & CONSULTING LLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 2020 N GIRLS SCHOOL RD STE 5A
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City | INDIANAPOLIS
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State | IN
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Zip | 46214-2252
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Country | US
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Telephone | 317-731-2695
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Fax |
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Provider Business Mailing Address
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Address Line | 1456 MONITOR WAY
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City | INDIANAPOLIS
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State | IN
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Zip | 46234-9793
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Country | US
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Telephone | 317-731-2695
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EUGENE WHITTEN
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Credential | LMHCA
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Telephone | 317-731-2695
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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 |
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License Number State |
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