OrganizationActive
Abundant Life Therapy, LLC
NPI 1205314754 · Professional Counselor · Loveland, CO
Provider details
- NPI number
- 1205314754
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Debra Wilson, Billing(307) 222-2013
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1401 S Taft Ave Ste 206
Loveland, CO 80537-6962
Phone: (307) 274-4398
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 21511
Cheyenne, WY 82003-7029
Additional practice locations (1)
- 2321 Dunn AveCheyenne, WY 82001-3214Phone: (307) 274-4398Fax: (307) 369-4039
Registry dates
- Enumerated
- 2018-08-06
- Last updated
- 2020-09-01
- Certified
- 2020-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.