NPI Code Details Logo

NPI 1295668531

NPI 1295668531 : RESET COMMUNITY WELLNESS & REENTRY SERVICES, LLC : EDGEMOOR, SC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295668531
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RESET COMMUNITY WELLNESS & REENTRY SERVICES, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/05/2026
-----------------------------------------------------
    Last Update Date     |    06/05/2026
-----------------------------------------------------

=====================================================
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            |    704-351-4599
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    EXECUTIVE DIRECTOR
-----------------------------------------------------
    Name                 |     ARRON  PINKNEY SR.
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    888-337-6888
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    172V00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Health Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YP1600X
-----------------------------------------------------
    Taxonomy Name        |    Pastoral Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    171M00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Manager/Care Coordinator
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    175T00000X
-----------------------------------------------------
    Taxonomy Name        |    Peer Specialist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.