Healthcare Provider Details

I. General information

NPI: 1013592955
Provider Name (Legal Business Name): RECOVERY BALANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2021
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2640 COLLEGE AVE
FOREST CITY NC
28043-6120
US

IV. Provider business mailing address

2640 COLLEGE AVE
FOREST CITY NC
28043-6120
US

V. Phone/Fax

Practice location:
  • Phone: 828-919-2171
  • Fax:
Mailing address:
  • Phone: 828-919-2171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JACE REID COLLMAN-MURPHY
Title or Position: OWNER/TREASURER
Credential: LCAS-3523
Phone: 828-919-2171