Organization Active NPI

Lajean'S Mental Health Boutique, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairlawn, OH
National Provider Identifier
1093347718
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC
Doing business as
LAJEANS MENTAL REHAB HEALTH BOUTIQUE LLC
Practice address
3094 W Market St Ste 190
Fairlawn, OH 44333-3617
Phone
(330) 595-9929
Fax
(330) 349-5240
NPI assigned
Feb 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dewan E Smith-Murray, PMHNP-BC
Title
Owner of Entity
Phone
(330) 595-9929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3094 W Market St Ste 190
Fairlawn, OH 44333-3617

Mailing address

575 Woodview Dr
Akron, OH 44319-1343
Phone (330) 858-4725

Other names 1

  • LAJEANS MENTAL REHAB HEALTH BOUTIQUE LLC Doing business as

National Provider Directory

National Provider Directory

Locations

46 Ravenna St
Ste A2
Hudson, OH 44236
Phone (330) 760-7890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1093347718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 WOODVIEW DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443191343",
            "telephone_number": "330-858-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 W MARKET ST STE 190",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333617",
            "telephone_number": "330-595-9929",
            "fax_number": "330-349-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "SMITH-MURRAY",
        "authorized_official_first_name": "DEWAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "330-595-9929",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAJEANS MENTAL REHAB HEALTH BOUTIQUE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.