Healthcare Provider Details

I. General information

NPI: 1679420459
Provider Name (Legal Business Name): LIFE RECOVERY CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 RIDGEWAY AVE
EXCELSIOR SPRINGS MO
64024-1334
US

IV. Provider business mailing address

100 RIDGEWAY AVE
EXCELSIOR SPRINGS MO
64024-1334
US

V. Phone/Fax

Practice location:
  • Phone: 816-615-0120
  • Fax:
Mailing address:
  • Phone: 816-615-0120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ROBERT COX
Title or Position: CEO
Credential:
Phone: 816-615-0120