Healthcare Provider Details

I. General information

NPI: 1023602364
Provider Name (Legal Business Name): LIVING TREE RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2021
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 NORTH AVE NE STE B
MASSILLON OH
44646-5510
US

IV. Provider business mailing address

410 MARLYN PKWY NE
MASSILLON OH
44646-4862
US

V. Phone/Fax

Practice location:
  • Phone: 330-575-5300
  • Fax: 234-425-5629
Mailing address:
  • Phone: 330-575-5300
  • Fax: 855-273-7554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: BRIAN STRAWN
Title or Position: OWNER
Credential: LPCCS
Phone: 740-673-0118