| Lajeans Mental Health Rehab Boutique Llc. | |
|
10 Columbus St Bedford OH 44146-2819 | |
| (330) 595-9929 | |
| (845) 859-8649 |
| Full Name | Lajeans Mental Health Rehab Boutique Llc. |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 10 Columbus St, Bedford, Ohio |
| Authorized Official Name and Position | Dewan Smith-williams (CEO) |
| Authorized Official Contact | 3309071556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lajeans Mental Health Rehab Boutique Llc. 575 Woodview Dr Akron OH 44319-1343 Ph: (330) 907-1556 | Lajeans Mental Health Rehab Boutique Llc. 10 Columbus St Bedford OH 44146-2819 Ph: (330) 595-9929 |
| NPI Number | 1205422342 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 12/26/2021 |
| Certification Date | 12/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205422342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
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