# LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lajeans Mental Health Rehab Boutique LLC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326708736
- **Authorized official:** DEWAN SMITH-WILLIAMS MSN PMHAPRN CNP-BC (PMHAPRN)
- **Authorized official phone:** (330) 595-9929

## Contact information

- **Practice address:** 10 COLUMBUS ST, BEDFORD, OH 44146-2819
- **Practice address phone:** (330) 595-9929
- **Practice address fax:** (845) 859-8649
- **Mailing address:** 575 WOODVIEW DR, AKRON, OH 44319-1343
- **Mailing address phone:** (330) 907-1556
- **Mailing address fax:** (845) 859-8649

## 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:** 12/27/2021
- **Last updated:** 12/27/2021