Life Abundant Center

Clinical Social Worker · Bowling Green, KY

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At a glance

1830 Destiny Ln, Bowling Green, KY 42104-1087

NPPES record updated Jul 25, 2016. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1830 Destiny Ln Suite105
Bowling Green, KY 42104-1087
Professional details: NPI, taxonomy & registry record
NPI1063965242
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Jul 25, 2016
Record updated
Jul 25, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License reported: 3483 KY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1830 Destiny Ln
Suite105
Bowling Green, KY 42104-1087
Phone
(270) 792-9683
Mailing address
1830 DESTINY LN
SUITE105
BOWLING GREEN, KY 421041087
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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