Provider Demographics
NPI:1568925832
Name:CHEREE S SALON & HAIR LOSS CENTER LLC
Entity Type:Organization
Organization Name:CHEREE S SALON & HAIR LOSS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HAIR LOSS SPECIALIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHEREE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:HAIR LOSS SPECIALIST
Authorized Official - Phone:901-600-4831
Mailing Address - Street 1:1217 W. STATE HWY 114 #124
Mailing Address - Street 2:SUITE 16
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3995
Mailing Address - Country:US
Mailing Address - Phone:901-672-7429
Mailing Address - Fax:901-672-7536
Practice Address - Street 1:1217 W. STATE HWY 114 #124
Practice Address - Street 2:SUITE 16
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3995
Practice Address - Country:US
Practice Address - Phone:901-672-7429
Practice Address - Fax:901-672-7536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Multi-Specialty