Provider Demographics
NPI:1801205273
Name:A CONFIDENT YOU STYLES, LLC
Entity Type:Organization
Organization Name:A CONFIDENT YOU STYLES, LLC
Other - Org Name:A CONFIDENT YOU HAIR LOSS STUDIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNERCERTIFIED HAIR LOSS SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:BALLARD
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-750-7262
Mailing Address - Street 1:7501 MEXICO RD
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-1389
Mailing Address - Country:US
Mailing Address - Phone:314-750-7262
Mailing Address - Fax:636-278-7722
Practice Address - Street 1:7501 MEXICO RD
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1389
Practice Address - Country:US
Practice Address - Phone:314-750-7262
Practice Address - Fax:636-278-7722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-10
Last Update Date:2014-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20020264461744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty