Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Recreated PLLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1154006104

Life Recreated PLLC is an Addiction (Substance Use Disorder) Counselor in Hickory, North Carolina. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

825 3rd Ave NW Ste 2
Hickory, NC 28601-4806
Phone: (704) 975-0691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Grouse Ridge Rd, Waynesville, NC 28786-5190 — (704) 975-0691

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Community/Behavioral Health Agency Taxonomy 251S00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1154006104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Queen — Business Manager · (704) 975-0691
NPI enumeratedJune 19, 2023
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing address825 3rd Ave Nw Ste 2, Hickory, NC 28601-4806

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