Lajean'S Mental Health Boutique, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC

Doing business as

Lajeans Mental Health Boutique LLC.
Lajeans Mental Health Rehab Boutique LLC.

Practice address

3094 W Market St Ste 190
Fairlawn, OH 44333-3626

Phone

(133) 090-7155

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-Murray, APRN CNP

Title

Ceo

Phone

(330) 595-9929

Specialties & licenses 2

Addresses

Other names 2

• Lajeans Mental Health Boutique LLC. Doing business as
• Lajeans Mental Health Rehab Boutique LLC. Doing business as

Locations

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1417617812",
    "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": "3094 W MARKET ST STE 190",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333626",
            "telephone_number": "133-090-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2023-05-30",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "SMITH-MURRAY",
        "authorized_official_first_name": "DEWAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-595-9929",
        "authorized_official_credential": "APRN CNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lajeans Mental Health Boutique LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lajeans Mental Health Rehab Boutique LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lajeans Mental Health Rehab Boutique LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard L Kunig, D.P.M
• Alan Dennis Kurzweil, L.I.S.W.
• Rachel Marie Kyer
• Tony Ghassan Lababidi, D.O.
• Lajean'S Mental Health Boutique, LLC
• James Evan Lake, MA, PC, ATR
• Carrie A Lamb, COTA/L
• Garrett Lamb
• Barry Charles Lamkin, M.D.
• Allison M Landes, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.