Organization
LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC
Active
Other names
Lajeans Mental Health Rehab Boutique LLC., Lajeans Mental Health Boutique LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
DEWAN SMITH-MURRAY APRN CNP (CEO)
(330) 595-9929
Entity
Organization
Contact information
Practice address
3094 W MARKET ST STE 190, FAIRLAWN, OH 44333-3626
(133) 090-7155
Mailing address
575 WOODVIEW DR, AKRON, OH 44319-1343
(330) 907-1556
(845) 859-8649
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/27/2021
Last updated
05/30/2023
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