Provider Demographics
NPI:1477425577
Name:LEARA'S ABUNDANCE
Entity type:Organization
Organization Name:LEARA'S ABUNDANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VEARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PACK-BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCPC
Authorized Official - Phone:240-770-1912
Mailing Address - Street 1:814 W DIAMOND AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1416
Mailing Address - Country:US
Mailing Address - Phone:240-770-1912
Mailing Address - Fax:855-233-1722
Practice Address - Street 1:814 W DIAMOND AVE STE 310
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1416
Practice Address - Country:US
Practice Address - Phone:240-770-1912
Practice Address - Fax:855-233-1722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health