Provider Demographics
NPI:1619859360
Name:RECLAIM AND RESTORE HEALING COMPANY
Entity type:Organization
Organization Name:RECLAIM AND RESTORE HEALING COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALANA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:LGPC
Authorized Official - Phone:410-823-5357
Mailing Address - Street 1:2120 EMMORTON PARK RD
Mailing Address - Street 2:STE E
Mailing Address - City:EDGEWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21040-1066
Mailing Address - Country:US
Mailing Address - Phone:443-402-1925
Mailing Address - Fax:213-289-8532
Practice Address - Street 1:20 CRAIGTOWN ROAD
Practice Address - Street 2:SUITE 103
Practice Address - City:PORT DEPOSIT
Practice Address - State:MD
Practice Address - Zip Code:21904
Practice Address - Country:US
Practice Address - Phone:443-402-1925
Practice Address - Fax:213-289-8532
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RECLAIM AND RESTORE HEALING COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty