Organization Active NPI

Beaty Recovery Services LLC

Doing business as Beaty Recovery Services Shelby LLC

  • Addiction (Substance Use Disorder) Counselor
  • Shelby, NC
National Provider Identifier
1740861061
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
BEATY RECOVERY SERVICES LLC
Doing business as
Beaty Recovery Services Shelby LLC
Practice address
320 E Graham St Ste 3
Shelby, NC 28150-5569
Phone
(704) 419-2130
Fax
(704) 419-2135
NPI assigned
Apr 19, 2021
Last updated
Apr 19, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
BEATY RECOVERY SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda Beaty Cloninger, LCAS, CCS, SAPNPI 1174711527
Title
Director Owner
Phone
(704) 864-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

320 E Graham St Ste 3
Shelby, NC 28150-5569

Mailing address

436 E Long Ave Ste 2
Gastonia, NC 28054-2543
Phone (170) 486-4390

Other names 1

  • Beaty Recovery Services Shelby LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beaty Recovery Services LLC2 organizations share this tax ID, including this one
Part of
Beaty Recovery Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1740861061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 E LONG AVE STE 2",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542543",
            "telephone_number": "170-486-4390",
            "fax_number": "704-419-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E GRAHAM ST STE 3",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505569",
            "telephone_number": "704-419-2130",
            "fax_number": "704-419-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATY RECOVERY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEATY RECOVERY SERVICES LLC",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "CLONINGER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "BEATY",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "704-864-3900",
        "authorized_official_credential": "LCAS, CCS, SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaty Recovery Services Shelby LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.