Life Recreated PLLC
NPI 1154006104 · Marriage & Family Therapist · Hickory, NC
Life Recreated PLLC is a Marriage & Family Therapist organization in Hickory, NC (NPI 1154006104).
Provider details
- NPI number
- 1154006104
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Queen, Business Manager(704) 975-0691
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 100 Grouse Ridge RdWaynesville, NC 28786-5190Phone: (704) 975-0691
Registry dates
- Enumerated
- 2023-06-19
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Frequently asked questions
- What is Life Recreated PLLC's NPI number?
- Life Recreated PLLC's National Provider Identifier (NPI) is 1154006104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Recreated PLLC?
- Life Recreated PLLC is classified in the NPPES registry as Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Life Recreated PLLC located?
- Life Recreated PLLC's practice location on file with NPPES is 825 3rd Ave Nw Ste 2, Hickory, NC 28601-4806.
- What is Life Recreated PLLC's phone number?
- The practice phone number listed in the NPPES registry for Life Recreated PLLC is (704) 975-0691.
- Who is the authorized official for Life Recreated PLLC?
- The authorized official listed on Life Recreated PLLC's NPPES record is Amanda Queen, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Recreated PLLC's NPI active?
- Yes — Life Recreated PLLC's NPI (1154006104) is active in the NPPES registry as of the last update on 2023-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.