Life Abundant Center
NPI 1063965242 · Clinical Social Worker · Bowling Green, KY
Life Abundant Center is a Clinical Social Worker organization in Bowling Green, KY (NPI 1063965242).
Provider details
- NPI number
- 1063965242
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jamie Wall, Owner(270) 792-9683
- License
- 3483 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-07-25
- Last updated
- 2016-07-25
Frequently asked questions
- What is Life Abundant Center's NPI number?
- Life Abundant Center's National Provider Identifier (NPI) is 1063965242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Abundant Center?
- Life Abundant Center is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Life Abundant Center located?
- Life Abundant Center's practice location on file with NPPES is 1830 Destiny Ln, Bowling Green, KY 42104-1087.
- What is Life Abundant Center's phone number?
- The practice phone number listed in the NPPES registry for Life Abundant Center is (270) 792-9683.
- Who is the authorized official for Life Abundant Center?
- The authorized official listed on Life Abundant Center's NPPES record is Jamie Wall, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Abundant Center's NPI active?
- Yes — Life Abundant Center's NPI (1063965242) is active in the NPPES registry as of the last update on 2016-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.