Provider Demographics
NPI:1013632348
Name:AU' SEAUX NATURALE BEAUTY BAR
Entity Type:Organization
Organization Name:AU' SEAUX NATURALE BEAUTY BAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TROY-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-288-3677
Mailing Address - Street 1:16478 NICHOLAS ST
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-6809
Mailing Address - Country:US
Mailing Address - Phone:225-288-3677
Mailing Address - Fax:
Practice Address - Street 1:8220 GOODWOOD BLVD STE 2B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7741
Practice Address - Country:US
Practice Address - Phone:225-288-3677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies