Active NPI
Restoring Every Soul Each Time, LLC
- Professional Counselor
- Elkton, MD
National Provider Identifier
1033419692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2746
- Legal business name
- RESTORING EVERY SOUL EACH TIME, LLC
- Practice address
- 203 Buttonwoods Rd
Elkton, MD 21921-6571 - Phone
- (443) 822-2446
- Fax
- (443) 350-9769
- NPI assigned
- Oct 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Sarah Renee Langley, LCPC
- Title
- Licensed Psychotherapist
- Phone
- (443) 822-2446
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC2746 | MD | Primary |
| Professional Counselor | 101YP2500X | PC004912 | PA | |
| Professional Counselor | 101YP2500X | PC-0000440 | DE |
Addresses
Primary practice location
203 Buttonwoods Rd
Elkton, MD 21921-6571
Mailing address
203 Buttonwoods Rd
Elkton, MD 21921-6571
Phone (443) 822-2446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 646097 | Medicaid | MD |
Other names 1
- RESET, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288310400000",
"number": "1033419692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 BUTTONWOODS RD",
"city": "ELKTON",
"state": "MD",
"postal_code": "219216571",
"telephone_number": "443-822-2446",
"fax_number": "443-350-9769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 BUTTONWOODS RD",
"city": "ELKTON",
"state": "MD",
"postal_code": "219216571",
"telephone_number": "443-822-2446",
"fax_number": "443-350-9769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORING EVERY SOUL EACH TIME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-29",
"last_updated": "2010-10-29",
"status": "A",
"authorized_official_last_name": "LANGLEY",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "LICENSED PSYCHOTHERAPIST",
"authorized_official_telephone_number": "443-822-2446",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2746",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC004912",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "DE",
"license": "PC-0000440",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "646097",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RESET, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.