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

Focused Addiction Recovery LLC

Organization Counselor · NPI 1114789666

Focused Addiction Recovery LLC is a Counselor in Wallace, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
11
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

102 W Main St
Wallace, NC 28466-2902
Phone: (910) 788-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Counseling Psychologist Taxonomy 103TC1900X
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1114789666
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Jackson — Cco · (480) 520-7921
NPI enumeratedJanuary 29, 2024
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing address102 W Main St, Wallace, NC 28466-2902

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