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LIFE ABUNDANT CENTER
NPI 1063965242
Social Worker - Clinical in Bowling Green, KY

Active since July 25, 2016
1830 DESTINY LN, SUITE105, BOWLING GREEN, KY 42104(270) 792-9683 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Life Abundant Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE ABUNDANT CENTER (NPI 1063965242) is a healthcare organization registered as a clinical in Bowling Green, Kentucky and active in the NPI registry since July 2016. The organization lists Jamie Elizabeth Wall, Owner, as its authorized official.

NPPES Registry Identity

NPI1063965242
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIFE ABUNDANT CENTER
Location Address1830 DESTINY LN, SUITE105Bowling Green, KY 42104-1087
Mailing Address1830 Destiny Ln, Suite105Bowling Green, KY 42104-1087
Phone(270) 792-9683
Organization SubpartNo
Authorized OfficialJamie Elizabeth WallOwner · (270) 792-9683
Enumeration DateJuly 25, 2016
✔ NPI 1063965242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 3483
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1830 DESTINY LN, Bowling Green, KY 42104
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RESTORATION COUNSELING
Community/Behavioral Health
1830 DESTINY LN
BOWLING GREEN, KY 42104
Warren County (270) 846-3222
DR. KELLI ALEXANDER BARBEE DMD
Dentist (General Practice)
1830 DESTINY LN, SUITE 119
BOWLING GREEN, KY 42104
Warren County (270) 393-9925
LISA RAE RICE LMFT
Marriage & Family Therapist
1830 DESTINY LN, SUITE 107
BOWLING GREEN, KY 42104
Warren County (270) 846-3222
CAROLYN KATES-GLASS
Social Worker (Clinical)
1830 DESTINY LN, SUITE 112
BOWLING GREEN, KY 42104
Warren County (270) 392-5531
LUCILLE LEE MCMICHAEL
Social Worker (Clinical)
1830 DESTINY LN, SUITE 112
BOWLING GREEN, KY 42104
Warren County (270) 746-9995
DR. JEFFREY SCOTT BARBEE DMD PSC
Dentist (Pediatric Dentistry)
1830 DESTINY LN, ST 119
BOWLING GREEN, KY 42104
Warren County (270) 393-9925
ASSOCIATED FOOT AND ANKLE CLINICS PSC
Podiatrist
1830 DESTINY LN, SUITE 110
BOWLING GREEN, KY 42104
Warren County (270) 846-3338
DR. MATTHEW NICHOLSON DAMIN D.M.D.
Dentist (Pediatric Dentistry)
1830 DESTINY LN, SUITE 119
BOWLING GREEN, KY 42104
Warren County (270) 393-9925

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Abundant Center's NPI number?

The NPI number for Life Abundant Center is 1063965242. It was assigned to this organization in the NPPES registry on July 25, 2016.

Where is Life Abundant Center located?

Life Abundant Center is located at 1830 Destiny Ln Suite105, Bowling Green, KY 42104. The listed phone number is (270) 792-9683.

What is Life Abundant Center's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Life Abundant Center accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Life Abundant Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Abundant Center was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.