| Juniper Lane Psychiatry, Llc | |
|
182 Wellford Way Brunswick OH 44212-1371 | |
| (216) 816-3812 | |
| Not Available |
| Full Name | Juniper Lane Psychiatry, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 182 Wellford Way, Brunswick, Ohio |
| Authorized Official Name and Position | Nicole Johnson (OWNER) |
| Authorized Official Contact | 2168163812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juniper Lane Psychiatry, Llc 182 Wellford Way Brunswick OH 44212-1371 Ph: (216) 816-3812 | Juniper Lane Psychiatry, Llc 182 Wellford Way Brunswick OH 44212-1371 Ph: (216) 816-3812 |
| NPI Number | 1568392363 |
|---|---|
| Provider Enumeration Date | 05/22/2026 |
| Last Update Date | 05/22/2026 |
| Certification Date | 05/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568392363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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