Healthcare Provider Details

I. General information

NPI: 1538639661
Provider Name (Legal Business Name): ARAM THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2018
Last Update Date: 01/17/2024
Certification Date: 12/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N HOWARD ST
BALTIMORE MD
21218-5909
US

IV. Provider business mailing address

1900 N HOWARD ST
BALTIMORE MD
21218-5909
US

V. Phone/Fax

Practice location:
  • Phone: 443-438-6742
  • Fax:
Mailing address:
  • Phone: 443-438-6742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ATEFEH FATHNEZHAD
Title or Position: LCSW-C/ FOUNDER
Credential:
Phone: 240-780-8508