Lajean's Mental Health Boutique, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC

Doing business as

Lajeans Mental Health Rehab Boutique LLC.

Practice address

10 Columbus St
Bedford, OH 44146-2819

Phone

(330) 595-9929

Fax

(845) 859-8649

NPI assigned

Dec 27, 2021

Organization subpart

No

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

Authorized official

Name

Dewan Smith-Williams, MSN PMHAPRN CNP-BC

Title

Pmhaprn

Phone

(330) 595-9929

Specialties & licenses 1

Addresses

Other names 1

• Lajeans Mental Health Rehab Boutique LLC. Doing business as

Practitioners 1

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

• Dewan Elizabeth Smith-Murray, BSN, RN, MSN,PMHAPRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairlawn, OH
  • NPI 1851831556
  NPD (past)

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1326708736",
    "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": "330-907-1556",
            "fax_number": "845-859-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COLUMBUS ST",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462819",
            "telephone_number": "330-595-9929",
            "fax_number": "845-859-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-26",
        "status": "A",
        "authorized_official_last_name": "SMITH-WILLIAMS",
        "authorized_official_first_name": "DEWAN",
        "authorized_official_title_or_position": "PMHAPRN",
        "authorized_official_telephone_number": "330-595-9929",
        "authorized_official_credential": "MSN PMHAPRN CNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lajeans Mental Health Rehab Boutique LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalya Kornyushenko
• Jill Renee Kramer, AU.D.
• Clayteya Kyle
• Kymco Reliable Home Care
• Lajean's Mental Health Boutique, LLC (Lajeans Mental Health Rehab)
• Trina Larkin
• Roxanne Lauderdale
• Syauna Jorie Lauderdale
• Samantha Law
• Charlotte Lee

• Psychiatric/Mental Health Nurse Practitioner in Bedford, OH
• Providers in Bedford, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.