FOCUSED ADDICTION RECOVERY LLC NPI 1114789666

NPI Information

  • NPI: 1114789666
  • Provider Name: FOCUSED ADDICTION RECOVERY LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 102 W MAIN ST
    WALLACE, NC
    ZIP 28466
  • Phone: (910) 788-4242

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NPI Details

FOCUSED ADDICTION RECOVERY LLC is an addiction (substance use disorder) counselor in Wallace, NC. FOCUSED ADDICTION RECOVERY LLC NPI is 1114789666. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

102 W MAIN ST
WALLACE, NC
ZIP 28466-902
Phone: (910) 788-4242

The provider's authorized official is Charles Jackson .
The authorized official title is Cco and has the following contact phone number (480) 520-7921.

The enumeration date for this NPI number is 1/29/2024 and was last updated on 8/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)Yes
3101YM0800XCounselorMental HealthNo
4101YP2500XCounselorProfessionalNo
5103TA0400XPsychologistAddiction (Substance Use Disorder)No
6103TC1900XPsychologistCounselingNo
7163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
8207QA0401XFamily MedicineAddiction MedicineNo
9207RA0401XInternal MedicineAddiction MedicineNo
102083A0300XPreventive MedicineAddiction MedicineNo
11363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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