RESTORED LIFE SERVICES OF ARKANSAS INC
NPI 1558727024
Counselor - Addiction (Substance Use Disorder) in Russellville, AR

Active since January 13, 2016
107 N BOSTON PL, RUSSELLVILLE, AR 72801(479) 219-4100(479) 222-0049 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2025, Aug 9, 2025, May 21, 2025 and 3 more (6 updates tracked since 2016).

About Restored Life Services Of Arkansas Inc NPPES

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

RESTORED LIFE SERVICES OF ARKANSAS INC (NPI 1558727024) is a healthcare organization registered as an addiction (substance use disorder) in Russellville, Arkansas and active in the NPI registry since January 2016. The organization lists Mary Caitlin Conner, Owner, as its authorized official.

NPPES Registry Identity

NPI1558727024
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameRESTORED LIFE SERVICES OF ARKANSAS INC
Location Address107 N BOSTON PLRussellville, AR 72801-3940
Mailing AddressPo Box 9178Russellville, AR 72811-9178 · (800) 824-4094 · Fax (479) 968-1673
Fax(479) 222-0049
Organization SubpartNo
Authorized OfficialMary Caitlin ConnerOwner · (479) 219-4100
Enumeration DateJanuary 13, 2016
Last NPPES UpdateDecember 30, 20256 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
NPI 1558727024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
107 N BOSTON PL, Russellville, AR 72801

Other Names 1

Other NameRestored Life Services

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 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.

Counselor
107 N BOSTON PL
RUSSELLVILLE, AR 72801

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 Restored Life Services Of Arkansas Inc's NPI number?

The NPI number for Restored Life Services Of Arkansas Inc is 1558727024. It was assigned to this organization in the NPPES registry on January 13, 2016. The provider is also known as Restored Life Services.

Where is Restored Life Services Of Arkansas Inc located?

Restored Life Services Of Arkansas Inc is located at 107 N Boston Pl, Russellville, AR 72801. The listed phone number is (479) 219-4100.

What is Restored Life Services Of Arkansas Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Restored Life Services Of Arkansas Inc was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.