SOUL-RENITY, LLC


Address: 3602 Mohawk Ave, Suite 200, Baltimore, MD 21207-7665
Phone: 4438696584

SOUL-RENITY, LLC (NPI# 1972900595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972900595
Entity Type Organization
Organization Name SOUL-RENITY, LLC
Practice Address 3602 Mohawk Ave
Suite 200
Baltimore
MD 21207-7665
Mailing Address 1800 N Charles St
Suite 204
Baltimore
MD 21201-5920
Practice Telephone 4438696584
Practice Fax Number 4438696127
Mailing Telephone 4438696584
Mailing Fax Number 4438696127
Enumeration Date 2014-11-25
Last Update Date 2015-11-19
Authorized Official Name MS. KIER M JOHNSON (OWNER)
Authorized Official Telephone 4438696584
Authorized Official Credential LCPC, MS, NCC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LC2447 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 304800400 05
MD 024537200 05
MD 062137400 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962849133 Soul-renity, LLC Counselor 1601 Saint Paul St, 2nd Floor, Baltimore, MD 21202-4871 2013-05-29

Office Location

Street Address 3602 MOHAWK AVE
SUITE 200
City BALTIMORE
State MD
Zip Code 21207-7665

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134400567 Shajuan M Forsey Counselor 3602 Mohawk Ave, Suite 100, Baltimore, MD 21207-7665 2011-08-30
1184002354 Step By Step of Maryland Counselor 3602 Mohawk Ave, Suite 200, Baltimore, MD 21207-7665 2015-05-08
1366724767 Step By Step of Maryland Counselor 3602 Mohawk Ave, Suite 100, Baltimore, MD 21207-7665 2011-09-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821613373 Keys Development Ta Case Management 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 2020-06-10
1891328431 Day-by-day Healthcare LLC Home Health Aide 6817 Fox Meadow Rd, Gwynnoak, Baltimore, MD 21207 2020-02-21
1366005944 Lacey Murphy Social Worker 6201 Liberty Road, Baltimore, MD 21207 2019-04-18
1811453368 Pamela Powell Social Worker 5025 Dickey Hill Rd, Baltimore, MD 21207 2019-02-20
1568932176 Reflections Counseling & Consulting Community/Behavioral Health 6901 Brightway, Unit F, Gwynn Oak, MD 21207 2018-11-27
1255849394 Therapetic Wellness Services Community/Behavioral Health 4909 Liberty Heights Ave, Baltimore, MD 21207 2018-01-10
1922525252 Passionate Hands Transitional Housing Clinic/Center 4711 Liberty Heights Avenue, Baltimore, MD 21207 2017-08-28
1528427689 Stephen James Allen Occupational Therapy Assistant 4107 Liberty Heights Ave, Baltimore, MARYLAND 21207 2016-02-17
1255720439 Dawn James Counselor 6401 Dogwood Road, Suite 201, Gwynn Oak, MD 21207 2015-01-12
1407251168 Allcare International, Inc Day Training, Developmentally Disabled Services 3402 Milford Ave, Baltimore, MD 21207 2014-10-23
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740897685 Christlyn Ariel Mccaskill Counselor 5525 Harford Rd, Baltimore, MD 21214-2233 2020-09-24
1730797283 Sheila Williams Counselor 5601 Loch Raven Blvd Ste 105, Baltimore, MD 21239-2945 2020-07-21
1144838889 Mb Therapeutic Center, LLC Counselor 218 E Lexington St Ste 700, Baltimore, MD 21202-3518 2020-07-20
1538782305 Matters of The Mind LLC Counselor 1645 Ridgely St Fl 2, Baltimore, MD 21230-2050 2020-05-27
1912529595 Anna Coleen Mahr Counselor 9700 Old Harford Rd, Baltimore, MD 21234-1140 2020-05-18
1902428352 Bridgette Eaton Counselor 3501 Saint Paul St Apt 147, Baltimore, MD 21218-2726 2020-05-08
1447870514 Diane Moses Counselor 1721 Pennsylvania Ave # 205, Baltimore, MD 21217-3119 2020-04-19
1649804840 Brittany Michelle Chadsey Counselor 1 N Charles St Ste 602, Baltimore, MD 21201-3732 2020-02-26
1467084871 Amanda Steinhorn, LLC Counselor 7225 Brookfalls Ter, Baltimore, MD 21209-1646 2020-02-04
1043850035 Rebecca Blank Counselor 711 W 40th St Ste 425, Baltimore, MD 21211-2135 2020-01-08
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Competitor

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City BALTIMORE
Zip Code 21207

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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