Active NPI
Lajean'S Mental Health Boutique, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Fairlawn, OH
National Provider Identifier
1093347718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- Cleveland, OH
- NPI 1518416304
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.