Provider Demographics
NPI:1992691539
Name:ABUNDANT LIFE COUNSELING & CONSULTING LLC
Entity type:Organization
Organization Name:ABUNDANT LIFE COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITTEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHCA
Authorized Official - Phone:317-731-2695
Mailing Address - Street 1:1456 MONITOR WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46234-9793
Mailing Address - Country:US
Mailing Address - Phone:317-731-2695
Mailing Address - Fax:
Practice Address - Street 1:1456 MONITOR WAY
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46234-9793
Practice Address - Country:US
Practice Address - Phone:317-731-2695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty