OrganizationActive
Abundant Life Counseling LLC
NPI 1467998674 · Clinical Social Worker · Waterbury, CT
Provider details
- NPI number
- 1467998674
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lillian Outlaw, Owner(203) 317-3333
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Agencies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
21 W Main St Fl 4
Waterbury, CT 06702-2013
Phone: (203) 317-3333
Fax: (203) 841-0304
Approximate (ZIP-level) locationGet directions
Mailing address
21 W Main St Fl 4
Waterbury, CT 06702-2013
Registry dates
- Enumerated
- 2017-01-11
- Last updated
- 2023-11-28
- Certified
- 2023-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.