Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Self Restorative Services LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1912793043

Self Restorative Services LLC is an Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

218 Collins Ave
Baltimore, MD 21229-3611
Phone: (240) 968-2809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1912793043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sydney-Shiann Jones — Chief Executive Officer · (240) 968-2809
NPI enumeratedApril 16, 2025
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address218 Collins Ave, Baltimore, MD 21229-3611

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