OrganizationActive
Abundant Living Psychological and Coaching Services
NPI 1922464452 · Early Intervention Provider Agency · Lexington, KY
Provider details
- NPI number
- 1922464452
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shambra Mulder, Owner(859) 229-6823
Specialties & taxonomies
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
Practice location
424 Lewis Hargett Cir Rm 213
Lexington, KY 40503-3688
Phone: (859) 208-5964
Approximate (ZIP-level) locationGet directions
Mailing address
2805 Jenna Rst
Lexington, KY 40511-8878
Other names (DBA / former)
- Former legal business name
- Abundant Living Psychological and Coaching Services for Children and Adolescents
Additional practice locations (1)
- 2805 Jenna RstLexington, KY 40511-8878Phone: (859) 229-6823
Registry dates
- Enumerated
- 2016-01-13
- Last updated
- 2025-03-11
- Certified
- 2025-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.