| Life Recreated Pllc | |
|
825 3rd Ave Nw Ste 2 Hickory NC 28601-4806 | |
| (704) 975-0691 | |
| Not Available |
| Full Name | Life Recreated Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 825 3rd Ave Nw Ste 2, Hickory, North Carolina |
| Authorized Official Name and Position | Amanda Queen (BUSINESS MANAGER) |
| Authorized Official Contact | 7049750691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Recreated Pllc 825 3rd Ave Nw Ste 2 Hickory NC 28601-4806 Ph: (704) 975-0691 | Life Recreated Pllc 825 3rd Ave Nw Ste 2 Hickory NC 28601-4806 Ph: (704) 975-0691 |
| NPI Number | 1154006104 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154006104 | NPI | - | NPPES |
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