MEDICARE: RECOVERY WORKS LLC

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1447860903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERY WORKS LLC

Provider Business Mailing Address
First Line	:	2833 CLEVELAND AVE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44709-3203
Country	:	US
Telephone Number	:	330-451-6390
Fax Number	:

Provider Business Practice Location Address
First Line	:	2833 CLEVELAND AVE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44709-3203
Country	:	US
Telephone Number	:	330-451-6390
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TRISHA LYNN BECK
Credential	:	LPCC-S
Telephone Number	:	330-451-6390

Provider Enumeration Date	:	08/08/2020
Last Update Date	:	08/08/2020

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Directions to “RECOVERY WORKS LLC ” Practice Location

Language	Start Address	Practice Location

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