Healthcare Provider Details
I. General information
NPI: 1437011004
Provider Name (Legal Business Name): JAYLYNN PINTO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5760 PATRIOT BLVD
YOUNGSTOWN OH
44515-1170
US
IV. Provider business mailing address
5760 PATRIOT BLVD
YOUNGSTOWN OH
44515-1170
US
V. Phone/Fax
- Phone: 330-953-0243
- Fax:
- Phone: 330-953-0243
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: