Lake Avenue Recovery, LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Worcester, Massachusetts
1831739739- Practice location
- 425 Lake Ave N, Worcester, MA 01605-2047
- Phone
- 508-794-4400
- Fax
- —
- Last updated
- February 12, 2024
Lake Avenue Recovery, LLC is a healthcare organization based in Worcester, MA. Lake Avenue Recovery, LLC practices in Worcester, MA. The NPI Number for Lake Avenue Recovery, LLC is 1831739739. The current practice location address for Lake Avenue Recovery, LLC is 425 Lake Ave N, Worcester, MA 01605-2047 and can be reached out via phone at 508-794-4400.
Provider Profile Details
- NPI Number
- 1831739739
- Provider Name
- Lake Avenue Recovery, LLC
- Provider Entity Type
- Organization
- Address
- 425 Lake Ave N, Worcester, MA 01605-2047
- Phone Number
- 508-794-4400
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Organization Subpart
- No
- Authorized Official
- Mr. John Maroney, MS, LADC1 · Executive Director · 508-826-6182
- Provider Enumeration Date
- January 9, 2020
- Last Update Date
- February 12, 2024
- Certification Date
- February 12, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 425 Lake Ave N
Worcester, MA 01605-2047 - City
- Worcester
- State
- Massachusetts
- Zip
- 01605-2047
- Phone Number
- 508-794-4400
Provider Business Mailing Address Details
- Address
- 38 Brentwood Drive
Holden, MA 01520-1932 - City
- Holden
- State
- MA
- Zip
- 01520-1932
- Phone Number
- 508-826-6182
License Information
- Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Rehabilitation, Substance Use Disorders near Worcester, MA
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Frequently Asked Questions
What is the NPI number of Lake Avenue Recovery, LLC?
The NPI number of Lake Avenue Recovery, LLC is 1831739739. It was assigned on January 9, 2020 and is currently active in the NPPES registry.
What is the specialty of Lake Avenue Recovery, LLC?
Lake Avenue Recovery, LLC is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X).
Where does Lake Avenue Recovery, LLC practice?
The practice location is 425 Lake Ave N, Worcester, MA 01605-2047. The office can be reached at 508-794-4400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831739739 directly on the NPPES registry website.