| Abundant Life Llc | |
|
10026 E 21st Street Ste 15 Indianapolis IN 46229-1802 | |
| (317) 943-1101 | |
| Not Available |
| Full Name | Abundant Life Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10026 E 21st Street Ste 15, Indianapolis, Indiana |
| Authorized Official Name and Position | Crimsetta Lajeanna Dunn (OWNER) |
| Authorized Official Contact | 3174939309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Llc 10026 E 21st Street Ste 15 Indianapolis IN 46229-1802 Ph: (317) 943-1101 | Abundant Life Llc 10026 E 21st Street Ste 15 Indianapolis IN 46229-1802 Ph: (317) 943-1101 |
| NPI Number | 1205596715 |
|---|---|
| Provider Enumeration Date | 12/23/2021 |
| Last Update Date | 12/23/2021 |
| Certification Date | 12/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205596715 | NPI | - | NPPES |
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