1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Counselor
  6. NPI Profile

SOUL-RENITY, LLC
NPI 1972900595
Counselor - Professional in Baltimore, MD

Active since November 25, 2014
3602 MOHAWK AVE, SUITE 200, BALTIMORE, MD 21207(443) 869-6584(443) 869-6127 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Soul-renity, Llc NPPES

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

SOUL-RENITY, LLC (NPI 1972900595) is a healthcare organization registered as a professional in Baltimore, Maryland and active in the NPI registry since November 2014. The organization lists Kier M Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1972900595
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSOUL-RENITY, LLC
Location Address3602 MOHAWK AVE, SUITE 200Baltimore, MD 21207-7665
Mailing Address1800 N Charles St, Suite 204Baltimore, MD 21201-5920 · (443) 869-6584 · Fax (443) 869-6127
Phone(443) 869-6584
Fax(443) 869-6127
Organization SubpartNo
Authorized OfficialKier M JohnsonOwner · (443) 869-6584
Enumeration DateNovember 25, 2014
Last NPPES UpdateNovember 19, 2015
✔ NPI 1972900595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC2447
3602 MOHAWK AVE, Baltimore, MD 21207
Open in Google Maps ↗

Other Identifiers 3

Medicaid304800400MD
Medicaid062137400MD
Medicaid024537200MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MISS SHAJUAN M FORSEY
Counselor (Professional)
3602 MOHAWK AVE, SUITE 100
BALTIMORE, MD 21207
Baltimore City (410) 744-5200
STEP BY STEP OF MARYLAND
Counselor (Professional)
3602 MOHAWK AVE, SUITE 200
BALTIMORE, MD 21207
Baltimore City (410) 744-5200
STEP BY STEP OF MARYLAND
Counselor (Professional)
3602 MOHAWK AVE, SUITE 100
BALTIMORE, MD 21207
Baltimore City (410) 744-5200
PHOENIX HEALTH SERVICES
Substance Abuse Rehabilitation Facility
3602 MOHAWK AVE
BALTIMORE, MD 21207
Baltimore City (443) 631-3303

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 Soul-Renity, LLC's NPI number?

The NPI number for Soul-Renity, LLC is 1972900595. It was assigned to this organization in the NPPES registry on November 25, 2014.

Where is Soul-Renity, LLC located?

Soul-Renity, LLC is located at 3602 Mohawk Ave Suite 200, Baltimore, MD 21207. The listed phone number is (443) 869-6584.

What is Soul-Renity, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Soul-Renity, LLC was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.