Healthcare Provider Details

I. General information

NPI: 1033093133
Provider Name (Legal Business Name): NEKAWA HEALING COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15620 DETROIT AVE STE 108
LAKEWOOD OH
44107-3708
US

IV. Provider business mailing address

15620 DETROIT AVE STE 108
LAKEWOOD OH
44107-3708
US

V. Phone/Fax

Practice location:
  • Phone: 216-385-8050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER BOROVICA
Title or Position: FOUNDER
Credential: LISW
Phone: 216-832-9232