Provider Demographics
NPI:1326612706
Name:TRI-INDULGENCE BEAUTY
Entity Type:Organization
Organization Name:TRI-INDULGENCE BEAUTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HAIR PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:VANIETY
Authorized Official - Middle Name:CHERELLE
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-636-0067
Mailing Address - Street 1:6321 JAMES ROUSE BLVD
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-9676
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5160 EAST MAIN ST
Practice Address - Street 2:LOFT 26
Practice Address - City:WHITEHALL
Practice Address - State:OH
Practice Address - Zip Code:43213
Practice Address - Country:US
Practice Address - Phone:614-636-0067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier