Organization Active NPI

Williams Restoration of Hope

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1710639042
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WILLIAMS RESTORATION OF HOPE
Practice address
1335 W Baltimore St
1St Floor
Baltimore, MD 21223-2402
Phone
(443) 869-2297
Fax
(443) 869-2326
NPI assigned
Jan 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Edward Williams, LCPC LCADC
Title
Ceo
Phone
(443) 386-9080

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1335 W Baltimore St
1St Floor
Baltimore, MD 21223-2402

Mailing address

1335 W Baltimore St
Baltimore, MD 21223-2402
Phone (443) 869-2297

Other practice location 1

1400 Mercantile Ln
St 200
Upper Marboro, MD 20774-2077
Phone (301) 740-6034

National Provider Directory

National Provider Directory
Tax ID family
Williams Restoration of Hope3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1400 Mercantile Ln
Ste 200
Upper Marlboro, MD 20774
Phone (202) 547-7797

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1710639042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 W BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232402",
            "telephone_number": "443-869-2297",
            "fax_number": "443-869-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W BALTIMORE ST",
            "address_2": "1ST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232402",
            "telephone_number": "443-869-2297",
            "fax_number": "443-869-2326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Mercantile Ln",
            "address_2": "St 200",
            "address_purpose": "LOCATION",
            "city": "Upper Marboro",
            "state": "MD",
            "postal_code": "207742077",
            "country_code": "US",
            "telephone_number": "301-740-6034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLIAMS RESTORATION OF HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-386-9080",
        "authorized_official_credential": "LCPC LCADC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.