Glowing Souls, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GLOWING SOULS, LLC

Practice address

5617 Reisterstown Rd
Baltimore, MD 21215-3435

Phone

(443) 970-8623

NPI assigned

Jan 2, 2023

Organization subpart

No

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

Authorized official

Name

Shantrice Sloane

Title

Executive Director

Phone

(443) 970-8623

Specialties & licenses 1

Addresses

Tax ID family

Glowing Souls LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Glowing Souls, LLC

  • Peer Specialist
  • Baltimore, MD
  • NPI 1700664117
  NPD tax ID

Locations

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1386357754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153435",
            "telephone_number": "443-970-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153435",
            "telephone_number": "443-970-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOWING SOULS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "SLOANE",
        "authorized_official_first_name": "SHANTRICE",
        "authorized_official_title_or_position": "EXECUTIVE  DIRECTOR",
        "authorized_official_telephone_number": "443-970-8623"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zackery David Glover
• David Brian Glovinsky, M.D.
• Glow Dental, LLC
• Gary Glowac, CRNA
• Laura Glowacki
• Glowing Souls, LLC
• GLS, LLC
• Rebecca Ann Gluck, PA-C
• Gma Wellness LLC
• Jerome Gnanaraj, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.