| Specialty | Taxonomy Code | |
|---|---|---|
| * | Infusion Therapy | 163WI0500X |
| Clinical Nurse Specialist | 364S00000X | |
| Psychiatric/Mental Health, Community | 364SP0812X |
* Indicates primary specialty
| NPI Number | 1790576577 |
| Legal business name LBN |
DREAMSCAPE KETAMINE AND IV THERAPY LOUNGE |
| Authorized official | SHERRY ANN SMITH - (COO) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 05/13/2025 |
| Last updated | 02/26/2026 - About 3 months ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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