Healthcare Provider Details

I. General information

NPI: 1891239190
Provider Name (Legal Business Name): ARI MENTAL HEALTH GROUP PRACTISE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2016
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 MARBURY DR
CROWNSVILLE MD
21032-2065
US

IV. Provider business mailing address

26 MARBURY DR
CROWNSVILLE MD
21032-2065
US

V. Phone/Fax

Practice location:
  • Phone: 410-923-6700
  • Fax: 410-923-6213
Mailing address:
  • Phone: 410-923-6700
  • Fax: 410-923-6213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARIA MACCHIO
Title or Position: CREDENTIALING/BILLING MANAGER
Credential:
Phone: 410-923-6700