Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Betty Lou Wallace Recovery LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1104417419

Betty Lou Wallace Recovery LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Kansas City, Missouri. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13645 Holmes Rd
Kansas City, MO 64145-1482
Phone: (480) 388-1495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1104417419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geffen Liberman — Executive Director · (480) 388-1495
NPI enumeratedJanuary 29, 2021
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021
Mailing address13340 Holmes Rd, Kansas City, MO 64145-1437

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