MEDICARE: LIFE RESTORATION COUNSELING & PSYCHOLOGICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	6301009751	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	103T00000X	OTHER		TAXONOMY
2	1992124390	OTHER	MI	NPI

General Provider Information

NPI Number	:	1558879270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE RESTORATION COUNSELING & PSYCHOLOGICAL SERVICES

Provider Business Mailing Address
First Line	:	6489 SHORELINE DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48085-1048
Country	:	US
Telephone Number	:	248-709-3897
Fax Number	:	248-828-6364

Provider Business Practice Location Address
First Line	:	525 E BIG BEAVER RD STE 201
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48083-1363
Country	:	US
Telephone Number	:	248-709-3897
Fax Number	:	248-828-6364

Authorized Official
Title or Position	:	BILLING CEO
Name	:	SHELLEY A TAGLIONE
Credential	:
Telephone Number	:	734-414-0754

Provider Enumeration Date	:	01/16/2018
Last Update Date	:	01/16/2018

Similar Medicare Providers

1295832087 — ADVANCED HEALTH CHIROPRACTIC, PLLC
Practice Location Address:

6585 ROCHESTER RD , SUITE 107
TROY, MI
48085-1363

Practice Phone: 248-813-0500
Practice Fax: 248-879-8055

1144479585 — ADVANCED HEALTH CHIROPRACTIC PLLC
Practice Location Address:

6585 ROCHESTER RD , SUITE #107
TROY, MI
48085-1363

Practice Phone: 248-813-0500
Practice Fax:

1467083600 — PFLC, LLC
Practice Location Address:

6585 ROCHESTER RD STE 103
TROY, MI
48085-1363

Practice Phone: 248-879-1100
Practice Fax:

1427905629 — HEART & HOME CARE SERVICES LLC
Practice Location Address:

1332 RODNEY CT
TROY, MI
48083-2126

Practice Phone: 313-929-4472
Practice Fax:

1346198355 — WILLIAM BEAUMONT HOSPITAL
Practice Location Address:

525 E BIG BEAVER RD
TROY, MI
48083-1364

Practice Phone: 248-688-9860
Practice Fax:

1619316064 — OMAR ANSARI DDS
Practice Location Address:

3962 ROCHESTER RD
TROY, MI
48083-5248

Practice Phone: 248-429-5555
Practice Fax: 248-494-4944

Directions to “LIFE RESTORATION COUNSELING & PSYCHOLOGICAL SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.