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 |
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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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