MEDICARE: ANKH MAJESTY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1861370249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANKH MAJESTY LLC

Provider Business Mailing Address
First Line	:	1568 S GREEN RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44121-5300
Country	:	US
Telephone Number	:	440-503-3958
Fax Number	:	440-503-3958

Provider Business Practice Location Address
First Line	:	624 E 222ND ST
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44123-2032
Country	:	US
Telephone Number	:	440-503-3958
Fax Number	:	440-503-3958

Authorized Official
Title or Position	:	QMHS
Name	:	DAINA MARIE JONES
Credential	:
Telephone Number	:	440-503-3958

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	08/25/2025

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Directions to “ANKH MAJESTY LLC ” Practice Location

Language	Start Address	Practice Location

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