Organization Active NPI

Restoring Every Soul Each Time, LLC

  • Professional Counselor
  • Elkton, MD
National Provider Identifier
1033419692
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC2746 Issued in MD
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

Updated by the provider on Oct 29, 2010

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X LC2746 MD Primary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X PC004912 PA
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
646097MedicaidMD

Other names 1

  • RESET, LLC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.