Provider Demographics
NPI:1558043604
Name:UNCONSCIOUS BEAUTE STUDIO LLC
Entity Type:Organization
Organization Name:UNCONSCIOUS BEAUTE STUDIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:SADE
Authorized Official - Last Name:HARLEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-718-2238
Mailing Address - Street 1:18559 BARWON RIVER CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2789
Mailing Address - Country:US
Mailing Address - Phone:832-718-2238
Mailing Address - Fax:
Practice Address - Street 1:18559 BARWON RIVER CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2789
Practice Address - Country:US
Practice Address - Phone:832-718-2238
Practice Address - Fax:832-747-4483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment