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Focused Addiction Recovery LLC

Addiction (Substance Use Disorder) Counselor in Wallace, NC · enumerated 2024 · authorized official Charles Jackson, Cco.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114789666

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Registry record

Entity type Organization (Type 2)
Legal business name Focused Addiction Recovery LLC
Practice address 102 W Main St, Wallace, NC, 28466
Phone (910) 788-4242
Enumeration date Jan 29, 2024
Last updated in NPPES Aug 30, 2024

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary
101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Primary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
103TA0400X Addiction (Substance Use Disorder) Psychologist Behavioral Health & Social Service Providers Secondary
103TC1900X Counseling Psychologist Behavioral Health & Social Service Providers Secondary
163WA0400X Addiction (Substance Use Disorder) Registered Nurse Nursing Service Providers Secondary
207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207RA0401X Addiction Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
2083A0300X Addiction Medicine (Preventive Medicine) Physician Allopathic & Osteopathic Physicians Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Charles Jackson
Title Cco
Phone (480) 520-7921

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Focused Addiction Recovery LLC?
The NPI for Focused Addiction Recovery LLC is 1114789666, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Focused Addiction Recovery LLC?
NPPES lists Charles Jackson (Cco) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-30.