OrganizationAbundant Life Counseling Service, Inc.(<Unavail>)Social WorkerBehavioral Health & Social Service ProvidersPractice Address750 Old Hickory Blvd, Two Brentwood Commons Suite 150, Brentwood, TN 37027-4528(615) 371-6107PECOS EnrollmentBased on the most recent information from CMS, provider Abundant Life Counseling Service, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1750552915Provider TypeOrganizationFull NameAbundant Life Counseling Service, Inc.Other Name<Unavail>SubpartNoEnumeration Date3/17/2008Last Updated7/23/2010Contact InformationPractice LocationPractice Address750 Old Hickory Blvd, Two Brentwood Commons Suite 150, Brentwood, TN 37027-4528Phone(615) 371-6107Fax(615) 369-6207Mailing LocationMailing Address750 Old Hickory Blvd, Two Brentwood Commons Suite 150, Brentwood, TN 37027-4528Phone(615) 371-6107Fax(615) 369-6207Authorized OfficialNameJohnson, Cynthia L (Licensed Clinical Social Worker)Phone(615) 371-6107Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLSW0000004454Tennessee