Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Life Restoration Center

Professional Counselor in Troy, MO · enumerated 2012 · authorized official Samantha Graham-Douglas, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417209917

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Registry record

Entity type Organization (Type 2)

Legal business name Life Restoration Center

Practice address 124 Wild Turkey Ln, Troy, MO, 63379

Phone (636) 358-6021

Fax (636) 338-4911

Enumeration date Oct 8, 2012

Last updated in NPPES Oct 8, 2012

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 2007035322 (MO) Primary

Authorized official

Name Samantha Graham-Douglas

Title President

Phone (636) 358-6021

Other identifiers

Identifier	Type	State	Issuer
1538337159	Medicaid	MO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-10-08. Verify at npiregistry.cms.hhs.gov.

Where is Life Restoration Center located?

The practice location on file with NPPES is in Troy, MO.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-08.