Provider Demographics
NPI:1114442993
Name:BEAUTIFUL HAIR SOLUTIONS LLC
Entity Type:Organization
Organization Name:BEAUTIFUL HAIR SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HAIR LOSS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TIFFINY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-718-9693
Mailing Address - Street 1:3155 TALISMAN RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-1815
Mailing Address - Country:US
Mailing Address - Phone:502-451-6061
Mailing Address - Fax:
Practice Address - Street 1:3701 TAYLORSVILLE RD STE 4
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-1351
Practice Address - Country:US
Practice Address - Phone:502-718-9693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-14
Last Update Date:2017-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies