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Life Restoration Center
Professional Counselor in Troy, Missouri
NPI 1417209917

Life Restoration Center is a Professional Counselor based in Troy, MO and is specialized in Professional. Life Restoration Center practices in Troy, MO. The NPI Number for Life Restoration Center is 1417209917 and holds a License No. 2007035322 (Missouri).

The current practice location address for Life Restoration Center is 124 Wild Turkey Ln, Troy, MO and can be reached out via phone at 636-358-6021 and via fax at 636-338-4911.

Location: 124 Wild Turkey Ln, Troy, MO, 63379-4339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417209917
Provider Name
Life Restoration Center
Credential
Provider Entity Type
Organization
Address
124 Wild Turkey Ln, Troy, MO, 63379-4339
Phone Number
636-358-6021
Fax Number
636-338-4911
Provider Enumeration Date
10/08/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1538337159 05 MO
institution
Provider Business Practice Location Address Details
Address
124 Wild Turkey Ln
City
Troy
State
Missouri
Zip
63379-4339
Phone Number
636-358-6021
Fax Number
636-338-4911
person
Provider Business Mailing Address Details
Address
124 Wild Turkey Ln
City
Troy
State
Missouri
Zip
63379-4339
Phone Number
636-358-6021
Fax Number
636-338-4911
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2007035322 (Missouri)
Definition
Definition to come...
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