Healthcare Provider Details

I. General information

NPI: 1336074376
Provider Name (Legal Business Name): RESPEC PSYCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6155 PARK SQUARE DR STE 7
LORAIN OH
44053-4145
US

IV. Provider business mailing address

6155 PARK SQUARE DR STE 7
LORAIN OH
44053-4145
US

V. Phone/Fax

Practice location:
  • Phone: 440-315-6771
  • Fax: 440-315-6775
Mailing address:
  • Phone: 440-315-6771
  • Fax: 440-315-6775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER SCOTT SMITH
Title or Position: OWNER
Credential: PMHNP-BC, FNP-BC
Phone: 440-305-6771