=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063346500
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE RESET PLACE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/10/2026
-----------------------------------------------------
Last Update Date | 06/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1180 BLACKBURN CIR
-----------------------------------------------------
City | EDGEMOOR
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29712-7802
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-351-4599
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 155
-----------------------------------------------------
City | EDGEMOOR
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29712-0155
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-416-2274
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | ARRON PINKNEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 704-351-4599
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP1600X
-----------------------------------------------------
Taxonomy Name | Pastoral Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 175T00000X
-----------------------------------------------------
Taxonomy Name | Peer Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 171M00000X
-----------------------------------------------------
Taxonomy Name | Case Manager/Care Coordinator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------