MEDICARE: ABUSWELL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1376490334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABUSWELL LLC

Provider Business Mailing Address
First Line	:	3669 E BOOT TRACK TRL
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-0695
Country	:	US
Telephone Number	:	860-335-3559
Fax Number	:

Provider Business Practice Location Address
First Line	:	3669 E BOOT TRACK TRL
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-0695
Country	:	US
Telephone Number	:	860-335-3559
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	AMANDA M BUSWELL
Credential	:	LMFT
Telephone Number	:	860-335-3559

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ABUSWELL LLC ” Practice Location

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