OrganizationActive
Life Restore Counseling & Training, LLC
NPI 1053977348 · Mental Health Counselor · Bossier City, LA
Provider details
- NPI number
- 1053977348
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- John Gingles, Licensed Professional Counselor(318) 573-2133
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2223 Old Minden Rd Ste C3
Bossier City, LA 71112-2303
Phone: (318) 573-2133
Street-level locationGet directions
Mailing address
2223 Old Minden Rd Ste C3
Bossier City, LA 71112-2303
Registry dates
- Enumerated
- 2019-05-13
- Last updated
- 2019-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.