RESTORED LIFE SERVICES OF ARKANSAS INC NPI 1558727024

NPI Information

  • NPI: 1558727024
  • Provider Name: RESTORED LIFE SERVICES OF ARKANSAS INC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • :
  • Address: 107 N BOSTON PL
    RUSSELLVILLE, AR
    ZIP 72801
  • Phone: (479) 219-4100

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NPI Details

RESTORED LIFE SERVICES OF ARKANSAS INC is an addiction (substance use disorder) counselor in Russellville, AR. RESTORED LIFE SERVICES OF ARKANSAS INC NPI is 1558727024. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

107 N BOSTON PL
RUSSELLVILLE, AR
ZIP 72801-940
Phone: (479) 219-4100
Fax: (479) 222-0049

The provider's authorized official is Mary Caitlin Conner .
The authorized official title is Vice President and has the following contact phone number (479) 219-4100.

The enumeration date for this NPI number is 1/13/2016 and was last updated on 8/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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