Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Elephant Wellness Co LLC

Organization Counselor · NPI 1649125212

Black Elephant Wellness Co LLC is a Counselor in Maple Heights, Ohio. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5589 Dunham Rd
Maple Heights, OH 44137-3657
Phone: (216) 626-7648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1649125212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamila Provitt — Owner · (216) 626-7648
NPI enumeratedFebruary 28, 2026
Last updated in NPPESFebruary 28, 2026
Certification dateFebruary 28, 2026
Mailing address5589 Dunham Rd, Maple Heights, OH 44137-3657

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