Jaime Domzalski, is a
Counselor - Mental Health based in Mantua, Ohio. Jaime Domzalski is licensed to practice in Ohio (license number C.2507143-TRNE) and her current practice location is
10771 Main St, Mantua, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 223-7395.
NPI number for Jaime Domzalski is 1639047368 and her current mailing address is 10771 Main St, Mantua, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639047368.
Healthcare Provider's Profile
| Full Name | Jaime Domzalski |
|---|
| Gender | Female |
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| Speciality | Counselor - Mental Health |
|---|
| Location | 10771 Main St, Mantua, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639047368
- Provider Enumeration Date: 10/24/2025
- Last Update Date: 10/24/2025
Medical Identifiers
Medical identifiers for Jaime Domzalski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639047368 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | C.2507143-TRNE (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaime Domzalski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jaime Domzalski, 10771 Main St, Mantua, OH 44255-8926 Ph: () - | Jaime Domzalski, 10771 Main St, Mantua, OH 44255-8926 Ph: (440) 223-7395 |
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