Provider Demographics
NPI:1003694225
Name:BEAUTY IN HER STRUGGLE, LLC
Entity Type:Organization
Organization Name:BEAUTY IN HER STRUGGLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNICAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-287-5057
Mailing Address - Street 1:6319 ALBATROSS DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-7143
Mailing Address - Country:US
Mailing Address - Phone:860-287-5057
Mailing Address - Fax:
Practice Address - Street 1:6319 ALBATROSS DR
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-7143
Practice Address - Country:US
Practice Address - Phone:860-287-5057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty