SOUL-RENITY LLC NPI 1972900595

NPI Information

SOUL-RENITY, LLC is a professional counselor in Baltimore, MD. SOUL-RENITY, LLC NPI is 1972900595. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3602 MOHAWK AVE
SUITE 200
BALTIMORE, MD
ZIP 21207-665
Phone: (443) 869-6584
Fax: (443) 869-6127

The provider's authorized official is Kier M Johnson .
The authorized official title is Owner and has the following contact phone number (443) 869-6584.

The enumeration date for this NPI number is 11/25/2014 and was last updated on 11/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.