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

Life Restoration Place LLC

Organization Professional Counselor · NPI 1225702996

Life Restoration Place LLC is a Professional Counselor in Oklahoma City, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
10
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1211 N Shartel Ave Ste 801
Oklahoma City, OK 73103-2425
Phone: (405) 504-5433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Professional Counselor Taxonomy 101YP2500X
Case Manager/Care Coordinator Taxonomy 171M00000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapist Taxonomy 225100000X
Physical Therapy Assistant Taxonomy 225200000X
Massage Therapist Taxonomy 225700000X
Occupational Therapist Taxonomy 225X00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1225702996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Germany — Physician Assistant · (405) 488-7543
NPI enumeratedAugust 5, 2021
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021
Mailing address14433 Locust St, Piedmont, OK 73078-8910

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