MEDICARE: ABUNDANT HOPE THERAPEUTIC SERVICES 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1972432904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABUNDANT HOPE THERAPEUTIC SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 462
Second Line	:
City	:	SPENCER
State	:	OK
Zip	:	73084-0462
Country	:	US
Telephone Number	:	405-314-3115
Fax Number	:	405-673-7318

Provider Business Practice Location Address
First Line	:	2145 N LOTTIE AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73111-2137
Country	:	US
Telephone Number	:	405-314-3115
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DEBBIE L WARDWORTH
Credential	:	LPC
Telephone Number	:	405-314-3115

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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