Spiritual Restoration Ministry LLC.

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SPIRITUAL RESTORATION MINISTRY LLC.

Doing business as

Ready Set Launch Reentry Program and Support Services

Practice address

1601 E 84TH Ave Ste 203
Anchorage, AK 99507-3160

Phone

(907) 887-6584

NPI assigned

Jan 8, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Cordles Walker Rodriguez, ETC

Title

Deputy Director

Phone

(907) 992-2320

Specialties & licenses 5

Addresses

Other names 1

• READY SET LAUNCH REENTRY PROGRAM AND SUPPORT SERVICES Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1386117729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 84TH AVE STE 203",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073160",
            "telephone_number": "907-992-2320",
            "fax_number": "907-344-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 84TH AVE STE 203",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073160",
            "telephone_number": "907-887-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRITUAL RESTORATION MINISTRY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CORDLES",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "907-992-2320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "READY SET LAUNCH REENTRY PROGRAM AND SUPPORT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "READY SET LAUNCH REENTRY PROGRAM AND SUPPORT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counselor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.