Provider Demographics
NPI:1518666551
Name:RECREATING DAWN, LLC
Entity Type:Organization
Organization Name:RECREATING DAWN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYOUS
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, ATR-BC
Authorized Official - Phone:216-282-6812
Mailing Address - Street 1:1397 WARREN RD STE 4
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-2570
Mailing Address - Country:US
Mailing Address - Phone:216-282-6812
Mailing Address - Fax:
Practice Address - Street 1:1397 WARREN RD STE 4-5
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-2570
Practice Address - Country:US
Practice Address - Phone:216-282-6812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty