Provider Demographics
NPI:1457068702
Name:LRJT INVESTMENTS LLC
Entity Type:Organization
Organization Name:LRJT INVESTMENTS LLC
Other - Org Name:ELLIE MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:JACOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-207-4500
Mailing Address - Street 1:3950 RAINTREE CIR
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-7875
Mailing Address - Country:US
Mailing Address - Phone:330-207-4500
Mailing Address - Fax:
Practice Address - Street 1:1525 CORPORATE WOODS PKWY STE 300
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-7883
Practice Address - Country:US
Practice Address - Phone:330-207-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-04
Last Update Date:2024-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty