Healthcare Provider Details

I. General information

NPI: 1720994320
Provider Name (Legal Business Name): ARIN JAYES PSYCHOTHERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4509 MARY AVE
BALTIMORE MD
21206-2805
US

IV. Provider business mailing address

4509 MARY AVE
BALTIMORE MD
21206-2805
US

V. Phone/Fax

Practice location:
  • Phone: 202-380-6519
  • Fax:
Mailing address:
  • Phone: 202-380-6519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ARIN CALLANEN JAYES
Title or Position: LEAD THERAPIST AND OWNER
Credential: LCPC, NCC
Phone: 202-380-6519