Provider Demographics
NPI:1518733146
Name:MILK&HONEY BEAUTIQUE
Entity Type:Organization
Organization Name:MILK&HONEY BEAUTIQUE
Other - Org Name:HAIR BY MILK & HONEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TWILA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-814-6210
Mailing Address - Street 1:501 DUPAGE ST
Mailing Address - Street 2:
Mailing Address - City:MICHIGAN CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46360-4703
Mailing Address - Country:US
Mailing Address - Phone:219-814-6210
Mailing Address - Fax:
Practice Address - Street 1:501 DUPAGE ST
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-4703
Practice Address - Country:US
Practice Address - Phone:219-814-6210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Single Specialty