# INNER BLOOM PSYCHIATRIC SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kayla M. Stewart, PMHNP-BC, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114803525
- **Authorized official:** KAYLA STEWART PMHNP-BC (OWNER)
- **Authorized official phone:** (330) 303-5380

## Contact information

- **Practice address:** 14701 DETROIT AVE STE 775B, LAKEWOOD, OH 44107-4115
- **Practice address phone:** (216) 628-2211
- **Practice address fax:** (216) 516-0471
- **Mailing address:** 2040 ELBUR AVE, LAKEWOOD, OH 44107-6114
- **Mailing address phone:** (330) 303-5380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2025
- **Last updated:** 08/12/2025