MEDICARE: RECOVERY FROM SOCIETY LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	172V00000X	Community Health Worker
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346991643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERY FROM SOCIETY LLC.

Provider Business Mailing Address
First Line	:	PO BOX 1126
Second Line	:
City	:	RUSKIN
State	:	FL
Zip	:	33575-1126
Country	:	US
Telephone Number	:	813-364-4465
Fax Number	:	813-359-1886

Provider Business Practice Location Address
First Line	:	412 E MADISON ST STE 1012
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-4618
Country	:	US
Telephone Number	:	813-364-4465
Fax Number	:	813-359-1886

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CRAIG JORDEN JR.
Credential	:
Telephone Number	:	813-364-4465

Provider Enumeration Date	:	01/18/2022
Last Update Date	:	12/28/2025

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