OrganizationActive
Life Restoration Center
NPI 1417209917 · Professional Counselor · Troy, MO
Life Restoration Center is a Professional Counselor organization in Troy, MO (NPI 1417209917).
Provider details
- NPI number
- 1417209917
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Samantha Graham-Douglas, President(636) 358-6021
- License
- 2007035322 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
124 Wild Turkey Ln
Troy, MO 63379-4339
Phone: (636) 358-6021
Fax: (636) 338-4911
Street-level locationGet directions
Mailing address
124 Wild Turkey Ln
Troy, MO 63379-4339
Registry dates
- Enumerated
- 2012-10-08
- Last updated
- 2012-10-08
Frequently asked questions
- What is Life Restoration Center's NPI number?
- Life Restoration Center's National Provider Identifier (NPI) is 1417209917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Restoration Center?
- Life Restoration Center is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Life Restoration Center located?
- Life Restoration Center's practice location on file with NPPES is 124 Wild Turkey Ln, Troy, MO 63379-4339.
- What is Life Restoration Center's phone number?
- The practice phone number listed in the NPPES registry for Life Restoration Center is (636) 358-6021.
- Who is the authorized official for Life Restoration Center?
- The authorized official listed on Life Restoration Center's NPPES record is Samantha Graham-Douglas, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Restoration Center's NPI active?
- Yes — Life Restoration Center's NPI (1417209917) is active in the NPPES registry as of the last update on 2012-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.