LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC; NPI #1205422342

Contact Information

LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC

10 COLUMBUS ST
BEDFORD, OH 44146-2819

Phone: 330-595-9929
Fax: 845-859-8649
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Addiction Psychiatry	2084P0802X	86	Physician/Neuropsychiatry

Indicates primary specialty

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NPI Profile & details for LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC

NPI Number	`1205422342`
LBN Legal business name	LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC
Authorized official	DEWAN SMITH-WILLIAMS - (CEO)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	12/14/2020
Last updated	12/26/2021 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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