BLACK ELEPHANT WELLNESS CO LLC
NPI 1649125212
Counselor in Maple Heights, OH

Active since February 28, 2026
5589 DUNHAM RD, MAPLE HEIGHTS, OH 44137(216) 626-7648 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Black Elephant Wellness Co Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK ELEPHANT WELLNESS CO LLC (NPI 1649125212) is a healthcare organization registered as a counselor in Maple Heights, Ohio and active in the NPI registry since February 2026. The organization lists Jamila Provitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1649125212
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameBLACK ELEPHANT WELLNESS CO LLC
Location Address5589 DUNHAM RDMaple Heights, OH 44137-3657
Mailing Address5589 Dunham RdMaple Heights, OH 44137-3657 · (216) 626-7648
Organization SubpartNo
Authorized OfficialJamila ProvittOwner · (216) 626-7648
Enumeration DateFebruary 28, 2026
NPPES CertifiedFebruary 28, 2026
NPI 1649125212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5589 DUNHAM RD, Maple Heights, OH 44137

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
5589 DUNHAM RD
MAPLE HEIGHTS, OH 44137
Counselor (Mental Health)
5589 DUNHAM RD
MAPLE HEIGHTS, OH 44137
Counselor
5589 DUNHAM RD
MAPLE HEIGHTS, OH 44137
Counselor (Professional)
5589 DUNHAM RD
MAPLE HEIGHTS, OH 44137
Counselor (Professional)
5589 DUNHAM RD
MAPLE HEIGHTS, OH 44137

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black Elephant Wellness Co LLC's NPI number?

The NPI number for Black Elephant Wellness Co LLC is 1649125212. It was assigned to this organization in the NPPES registry on February 28, 2026.

Where is Black Elephant Wellness Co LLC located?

Black Elephant Wellness Co LLC is located at 5589 Dunham Rd, Maple Heights, OH 44137. The listed phone number is (216) 626-7648.

What is Black Elephant Wellness Co LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Black Elephant Wellness Co LLC was last updated on February 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.