Healthcare Provider Details

I. General information

NPI: 1922652304
Provider Name (Legal Business Name): WILLIAMS RESTORATION OF HOPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2019
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 W BALTIMORE ST FIRST FLOOR
BALTIMORE MD
21223-2402
US

IV. Provider business mailing address

1335 W BALTIMORE ST FIRST FLOOR
BALTIMORE MD
21223-2402
US

V. Phone/Fax

Practice location:
  • Phone: 443-869-2297
  • Fax: 443-869-2326
Mailing address:
  • Phone: 443-869-2297
  • Fax: 443-869-2326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: EDWARD WILLIAMS
Title or Position: CEO OWNER
Credential: LCPC, LCADC
Phone: 443-869-2297