LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC (NPI# 1093347718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093347718 |
| Entity Type | Organization |
| Organization Name | LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC |
| Practice Address |
46 Ravenna St Ste A2 Hudson OH 44236-3058 |
| Mailing Address |
575 Woodview Dr Akron OH 44319-1343 |
| Practice Telephone | 3308584725 |
| Mailing Telephone | 3308584725 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | DEWAN E SMITH-WILLIAMS (OWNER OF ENTITY) |
| Authorized Official Telephone | 3308584725 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
46 RAVENNA ST STE A2 |
| City | HUDSON |
| State | OH |
| Zip Code | 44236-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881195477 | Amber Sommer | Dietitian, Registered | 1742 Georgetown Road, Hudson, OH 44236 | 2018-02-28 |
| 1184149585 | Elena A Berman | Technician | 2654 Blue Heron Dr, Hudson, OH 44236 | 2017-08-07 |
| 1114390671 | Costco Wholesale Corporation | Pharmacy | 6720 Bass Pro Rd, Boston Heights, OH 44236 | 2015-11-05 |
| 1972975803 | Costco Wholesale Corporation | Hearing Aid Equipment | 6720 Bass Pro Drive, Boston Heights, OH 44236 | 2015-10-30 |
| 1841695624 | The Hair Specialists | Anaplastologist | 180 W. Streetsboro St, Hudson, OH 44236 | 2014-10-23 |
| 1326441163 | Haley E Dunn | Counselor | 10 W. Streetsboro St., 107, Hudson, OH 44236 | 2014-10-08 |
| 1538578000 | Hudson Elms | Skilled Nursing Facility | 563 West Streetsboro Street, Hudson, OH 44236 | 2014-08-08 |
| 1316375215 | Mary Meghan Folino Hylton | Nurse Practitioner | 5655 Hudson Dr Ste 301, Hudson, OH 44236 | 2013-10-31 |
| 1225382708 | Stamatios Tripodis | Physical Therapist | 1310 Corporate Drive, Hudson, OH 44236 | 2012-11-05 |
| 1881943199 | Susan Belle Ujvari | Licensed Practical Nurse | 1661 Sapphire Drive, Hudson, OH 44236 | 2012-08-31 |
| Find all providers in zip 44236 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922328491 | Debra Susan Maclean | Nurse Practitioner | 10 Technology Dr Ste 40-204, Hudson, MA 01749-2791 | 2010-06-08 |
| 1588812812 | Kelley S. Bitter | Nurse Practitioner | 1890 Old Tannery Cir, Hudson, OH 44236 | 2008-08-28 |
| 1619989076 | Ipatia D Magnus | Nurse Practitioner | 13910 Fivay Rd Ste 8, Hudson, FL 34667 | 2006-08-13 |
| 1720633464 | Angela Patricia Smith | Nurse Practitioner | 2645 Blue Heron Dr, Hudson, OH 44236-1868 | 2019-08-08 |
| 1194183780 | Ipatia Magnus | Nurse Practitioner | 13910 Fivay Rd, Suite 1, Hudson, FL 34667-7154 | 2016-02-10 |
| 1114215993 | Colleen P Morgan | Nurse Practitioner | 325 Columbia St, Hudson, NY 12534-1905 | 2011-07-14 |
| 1750690509 | Charlotte P Sloan | Nurse Practitioner | 67 Prospect Ave, Suite 290, Hudson, NY 12534-2917 | 2010-09-28 |
| 1215946058 | John C Femenella | Nurse Practitioner | 13910 Fivay Rd, Suite One, Hudson, FL 34667 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184707 | Joanna Sue Tricaso-torrence | Nurse Practitioner | 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 | 2020-11-05 |
| 1427658368 | Greta Katherine Heckmann | Nurse Practitioner | 2508 Beechmont Ave Apt 43, Cincinnati, OH 45230-1240 | 2020-10-29 |
| 1083213078 | Smtia Sonali Carpenter | Nurse Practitioner | 9509 Knarwood Ct, Pickerington, OH 43147-8106 | 2020-10-20 |
| 1255939054 | Jessica Kincaid | Nurse Practitioner | 3921 Clareridge Dr Unit B, Toledo, OH 43623-3380 | 2020-10-14 |
| 1801493531 | Kasey Zink | Nurse Practitioner | 5934 Creek Rd Se, Washington Court House, OH 43160-8778 | 2020-10-06 |
| 1861099806 | Taylor Buck | Nurse Practitioner | 158 Rock Creek Dr, Delaware, OH 43015-2260 | 2020-10-02 |
| 1598371296 | Peace of Mind Therapeutics LLC | Nurse Practitioner | 5170 Pebble Brook Dr, Englewood, OH 45322-3632 | 2020-09-17 |
| 1003421827 | Rachel Bird | Nurse Practitioner | 2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 | 2020-09-09 |
| 1740894880 | Angel M Davis | Nurse Practitioner | 11210 Navajo Ln Apt 203, Parma Heights, OH 44130-9045 | 2020-09-05 |
| 1548873680 | Nicollette Pizzoferrato | Nurse Practitioner | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.