Organization Active NPI

Unleashing Potential LLC

  • Community/Behavioral Health Agency
  • Randallstown, MD
National Provider Identifier
1902378680
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UNLEASHING POTENTIAL LLC
Practice address
11100 Liberty Rd Ste G
Randallstown, MD 21133-1054
Phone
(443) 831-7989
NPI assigned
Dec 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Tarin Ligens
Title
Founder
Phone
(410) 419-8738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11100 Liberty Rd Ste G
Randallstown, MD 21133-1054

Mailing address

11100 Liberty Rd Ste G
Randallstown, MD 21133-1054
Phone (410) 419-8738

National Provider Directory

National Provider Directory

Locations

11100 Liberty Rd
Ste G
Randallstown, MD 21133
Phone (410) 988-4664

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1902378680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 LIBERTY RD STE G",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331054",
            "telephone_number": "410-419-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 LIBERTY RD STE G",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331054",
            "telephone_number": "443-831-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLEASHING POTENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "LIGENS",
        "authorized_official_first_name": "TARIN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "410-419-8738"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.