Provider Demographics
NPI:1699573188
Name:ABUNDANT LIVING FAMILY SERVICES
Entity type:Organization
Organization Name:ABUNDANT LIVING FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:804-882-3062
Mailing Address - Street 1:8080 N CENTRAL EXPY STE 1700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-3783
Mailing Address - Country:US
Mailing Address - Phone:804-882-3062
Mailing Address - Fax:
Practice Address - Street 1:8080 N CENTRAL EXPY STE 1700
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-3783
Practice Address - Country:US
Practice Address - Phone:804-882-3062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health