BETTY LOU WALLACE RECOVERY LLC
NPI 1104417419
Clinic/Center - Rehabilitation, Substance Use Disorder in Kansas City, MO

Q: What is Betty Lou Wallace Recovery LLC's NPI number?

The NPI number for Betty Lou Wallace Recovery LLC is 1104417419. It was assigned to this organization in the NPPES registry on January 29, 2021.

Q: What is Betty Lou Wallace Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since January 29, 2021

13645 HOLMES RD, KANSAS CITY, MO 64145(480) 388-1495 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Betty Lou Wallace Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETTY LOU WALLACE RECOVERY LLC (NPI 1104417419) is a healthcare organization registered as a rehabilitation, substance use disorder in Kansas City, Missouri and active in the NPI registry since January 2021. The organization lists Geffen Liberman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104417419

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameBETTY LOU WALLACE RECOVERY LLC

Location Address13645 HOLMES RDKansas City, MO 64145-1482

Mailing Address13340 Holmes RdKansas City, MO 64145-1437 · (816) 786-7074

Phone(480) 388-1495

Organization SubpartNo

Authorized OfficialGeffen LibermanExecutive Director · (480) 388-1495

Enumeration DateJanuary 29, 2021

NPPES CertifiedJanuary 29, 2021

✔ NPI 1104417419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

13645 HOLMES RD, Kansas City, MO 64145

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Betty Lou Wallace Recovery LLC's NPI number?

The NPI number for Betty Lou Wallace Recovery LLC is 1104417419. It was assigned to this organization in the NPPES registry on January 29, 2021.

Where is Betty Lou Wallace Recovery LLC located?

Betty Lou Wallace Recovery LLC is located at 13645 Holmes Rd, Kansas City, MO 64145. The listed phone number is (480) 388-1495.

What is Betty Lou Wallace Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

What insurance does Betty Lou Wallace Recovery LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Betty Lou Wallace Recovery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Betty Lou Wallace Recovery LLC was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.