Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Abundant Center

Organization Clinical Social Worker · NPI 1063965242

Life Abundant Center is a Clinical Social Worker in Bowling Green, Kentucky. Licensed in Kentucky. Registered with an NPI since 2016.

Licensed in
KY
In the registry since
2016

Practice location Address checks out

1830 Destiny Ln SUITE105
Bowling Green, KY 42104-1087
Phone: (270) 792-9683
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3483 (KY)

Record details

NPI number1063965242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Wall — Owner · (270) 792-9683
NPI enumeratedJuly 25, 2016
Last updated in NPPESJuly 25, 2016
Mailing address1830 Destiny Ln, Suite105, Bowling Green, KY 42104-1087

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