Betty Lou Wallace Recovery LLC
NPI 1104417419 · Substance Use Disorder Rehabilitation Clinic/Center · Kansas City, MO
Betty Lou Wallace Recovery LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Kansas City, MO (NPI 1104417419).
Provider details
- NPI number
- 1104417419
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Geffen Liberman, Executive Director(480) 388-1495
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-29
- Last updated
- 2021-01-29
- Certified
- 2021-01-29
Frequently asked questions
- What is Betty Lou Wallace Recovery LLC's NPI number?
- Betty Lou Wallace Recovery LLC's National Provider Identifier (NPI) is 1104417419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Betty Lou Wallace Recovery LLC?
- Betty Lou Wallace Recovery LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Betty Lou Wallace Recovery LLC located?
- Betty Lou Wallace Recovery LLC's practice location on file with NPPES is 13645 Holmes Rd, Kansas City, MO 64145-1482.
- What is Betty Lou Wallace Recovery LLC's phone number?
- The practice phone number listed in the NPPES registry for Betty Lou Wallace Recovery LLC is (480) 388-1495.
- Who is the authorized official for Betty Lou Wallace Recovery LLC?
- The authorized official listed on Betty Lou Wallace Recovery LLC's NPPES record is Geffen Liberman, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Betty Lou Wallace Recovery LLC's NPI active?
- Yes — Betty Lou Wallace Recovery LLC's NPI (1104417419) is active in the NPPES registry as of the last update on 2021-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.