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LIFE RECREATED PLLC
NPI 1154006104
Marriage & Family Therapist in Hickory, NC

Active since June 19, 2023
825 3RD AVE NW STE 2, HICKORY, NC 28601(704) 975-0691 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Recreated Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE RECREATED PLLC (NPI 1154006104) is a healthcare organization registered as a marriage & family therapist in Hickory, North Carolina and active in the NPI registry since June 2023. The organization maintains a secondary practice location in Waynesville and lists Amanda Queen, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1154006104
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameLIFE RECREATED PLLC
Location Address825 3RD AVE NW STE 2Hickory, NC 28601-4806
Mailing Address825 3rd Ave Nw Ste 2Hickory, NC 28601-4806 · (704) 975-0691
Phone(704) 975-0691
Organization SubpartNo
Authorized OfficialAmanda QueenBusiness Manager · (704) 975-0691
Enumeration DateJune 19, 2023
Last NPPES UpdateJune 21, 2023
NPPES CertifiedJune 21, 2023
✔ NPI 1154006104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
825 3RD AVE NW STE 2, Hickory, NC 28601
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Secondary Practice Location 1

Location 1100 Grouse Ridge RdWaynesville, NC 28786-5190 · Phone (704) 975-0691

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY BRENTON QUEEN MS, LMFT, LCAS
Marriage & Family Therapist
825 3RD AVE NW STE 2
HICKORY, NC 28601
Catawba County (704) 534-7110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Recreated PLLC's NPI number?

The NPI number for Life Recreated PLLC is 1154006104. It was assigned to this organization in the NPPES registry on June 19, 2023.

Where is Life Recreated PLLC located?

Life Recreated PLLC is located at 825 3rd Ave NW Ste 2, Hickory, NC 28601. The listed phone number is (704) 975-0691.

What is Life Recreated PLLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Life Recreated PLLC was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.