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Contact Information

ABUNDANT LIFE CENTER
2550 MAIN ST
HARTFORD, CT06120-1936
 Phone: 860-548-9399
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Case Management

251B00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for ABUNDANT LIFE CENTER · (Female)

NPI # 1174759963
Status Active
Credentials
Entity Individual
Enumeration date 06/08/2009
Last updated 04/16/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 001806
  • CT License # 104100000X
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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