Provider Demographics
NPI:1013592955
Name:RECOVERY BALANCE, LLC
Entity Type:Organization
Organization Name:RECOVERY BALANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:COLLMAN-MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS-3523
Authorized Official - Phone:704-307-0608
Mailing Address - Street 1:1132 E FRANKLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-4244
Mailing Address - Country:US
Mailing Address - Phone:704-307-0608
Mailing Address - Fax:
Practice Address - Street 1:1132 E FRANKLIN BLVD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-4244
Practice Address - Country:US
Practice Address - Phone:704-307-0608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty