# BEATY RECOVERY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEATY RECOVERY SERVICES LLC
- **Other names:** Beaty Recovery Services Shelby LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740861061
- **Legal business name:** BEATY RECOVERY SERVICES LLC
- **Authorized official:** LINDA BEATY CLONINGER LCAS, CCS, SAP (DIRECTOR OWNER)
- **Authorized official phone:** (704) 864-3900

## Contact information

- **Practice address:** 320 E GRAHAM ST STE 3, SHELBY, NC 28150-5569
- **Practice address phone:** (704) 419-2130
- **Practice address fax:** (704) 419-2135
- **Mailing address:** 436 E LONG AVE STE 2, GASTONIA, NC 28054-2543
- **Mailing address phone:** (170) 486-4390
- **Mailing address fax:** (704) 419-2135

## Taxonomy

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

## Other

- **Enumeration date:** 04/19/2021
- **Last updated:** 04/19/2021