MEDICARE: LEAP OF FAITH RECOVERY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1437007838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEAP OF FAITH RECOVERY

Provider Business Mailing Address
First Line	:	5884 KNAPP RD
Second Line	:
City	:	RAVENNA
State	:	OH
Zip	:	44266-8848
Country	:	US
Telephone Number	:	330-849-4034
Fax Number	:

Provider Business Practice Location Address
First Line	:	5884 KNAPP RD
Second Line	:
City	:	RAVENNA
State	:	OH
Zip	:	44266-8848
Country	:	US
Telephone Number	:	330-849-4034
Fax Number	:

Authorized Official
Title or Position	:	OWNER/FOUNDER
Name	:	LISA ELLEN PARSONS
Credential	:	LICDC-CS,MA. ADC
Telephone Number	:	330-849-4034

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “LEAP OF FAITH RECOVERY ” Practice Location

Language	Start Address	Practice Location

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