# BEATY RECOVERY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124570908
- **Authorized official:** MS. LINDA BEATY CLONINGER CCS, LCAS (DIRECTOR OWNER)
- **Authorized official phone:** (704) 864-3900

## Contact information

- **Practice address:** 436 E LONG AVE, SUITE 2, GASTONIA, NC 28054-2516
- **Practice address phone:** (704) 864-3900
- **Practice address fax:** (704) 864-3988
- **Mailing address:** 436 E LONG AVE, SUITE 2, GASTONIA, NC 28054-2516
- **Mailing address phone:** (704) 864-3900
- **Mailing address fax:** (704) 864-3988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 6008703 | NC | Yes |

## Other

- **Enumeration date:** 10/27/2016
- **Last updated:** 10/27/2016