MEDICARE: LIFE RESTORATION AND WELLNESS LLC

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	101YP2500X	Professional Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1568170298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE RESTORATION AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	290 RUBLEIN ST STE F
Second Line	:
City	:	MARQUETTE
State	:	MI
Zip	:	49855-4067
Country	:	US
Telephone Number	:	906-236-3990
Fax Number	:

Provider Business Practice Location Address
First Line	:	290 RUBLEIN ST STE F
Second Line	:
City	:	MARQUETTE
State	:	MI
Zip	:	49855-4067
Country	:	US
Telephone Number	:	906-273-0182
Fax Number	:	877-940-2864

Authorized Official
Title or Position	:	OWNER, THERAPIST
Name	:	MRS. DOROTHY LOWERY
Credential	:	LMSW
Telephone Number	:	906-236-3990

Provider Enumeration Date	:	11/11/2022
Last Update Date	:	06/18/2026

Similar Medicare Providers

1871576421 — DOROTHY S KAHLER PSYD
Practice Location Address:

290 RUBLEIN ST , SUITE D
MARQUETTE, MI
49855-4067

Practice Phone: 906-226-9100
Practice Fax:

1669894044 — CHRISTAL MARIE BAUGHMAN LPC
Practice Location Address:

290 RUBLEIN ST STE F
MARQUETTE, MI
49855-4067

Practice Phone: 906-273-0182
Practice Fax:

1487589354 — LAUREN KRISTINE MELENDEZ-RIVERO
Practice Location Address:

1738 PRESQUE ISLE AVE
MARQUETTE, MI
49855-2140

Practice Phone: 906-227-2994
Practice Fax:

1134648272 — ANNALISE BARTOL LLMSW, CADC
Practice Location Address:

1025 W WASHINGTON ST STE B
MARQUETTE, MI
49855-4031

Practice Phone: 906-256-2951
Practice Fax:

1134054869 — EMMA HESLIN
Practice Location Address:

1401 PRESQUE ISLE AVE
MARQUETTE, MI
49855-2818

Practice Phone: 906-227-2994
Practice Fax:

1881386811 — DR. ISABELLA CRISTINA COMSA MCCORMACK DO
Practice Location Address:

1414 W FAIR AVE STE 226
MARQUETTE, MI
49855-5409

Practice Phone: 906-449-1240
Practice Fax:

Directions to “LIFE RESTORATION AND WELLNESS LLC ” 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.