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SELF RESTORATIVE SERVICES LLC
NPI 1912793043
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD

Active since April 16, 2025
218 COLLINS AVE, BALTIMORE, MD 21229(240) 968-2809 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Self Restorative Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELF RESTORATIVE SERVICES LLC (NPI 1912793043) is a healthcare organization registered as an addiction (substance use disorder) in Baltimore, Maryland and active in the NPI registry since April 2025. The organization lists Sydney-shiann Jones, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1912793043
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameSELF RESTORATIVE SERVICES LLC
Location Address218 COLLINS AVEBaltimore, MD 21229-3611
Mailing Address218 Collins AveBaltimore, MD 21229-3611
Phone(240) 968-2809
Organization SubpartNo
Authorized OfficialSydney-shiann JonesChief Executive Officer · (240) 968-2809
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1912793043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
218 COLLINS AVE, Baltimore, MD 21229
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACEY BROWN
Counselor (Addiction (Substance Use Disorder))
218 COLLINS AVE
BALTIMORE, MD 21229
Baltimore City (917) 635-6087

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Self Restorative Services LLC's NPI number?

The NPI number for Self Restorative Services LLC is 1912793043. It was assigned to this organization in the NPPES registry on April 16, 2025.

Where is Self Restorative Services LLC located?

Self Restorative Services LLC is located at 218 Collins Ave, Baltimore, MD 21229. The listed phone number is (240) 968-2809.

What is Self Restorative Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Self Restorative Services LLC was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.