Provider Demographics
NPI:1205122694
Name:BEAUTIFUL CHANGES, LLC
Entity type:Organization
Organization Name:BEAUTIFUL CHANGES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ LICENSED ESTHETICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:C
Authorized Official - Last Name:SAFLARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-646-7546
Mailing Address - Street 1:19115 FM 2252
Mailing Address - Street 2:SUITE 23
Mailing Address - City:GARDEN RIDGE
Mailing Address - State:TX
Mailing Address - Zip Code:78266
Mailing Address - Country:US
Mailing Address - Phone:210-646-7546
Mailing Address - Fax:
Practice Address - Street 1:19115 FM 2252
Practice Address - Street 2:SUITE 23
Practice Address - City:GARDEN RIDGE
Practice Address - State:TX
Practice Address - Zip Code:78266
Practice Address - Country:US
Practice Address - Phone:210-646-7546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX173C00000X
TX1476415174400000X
TXMT030142174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No173C00000XOther Service ProvidersReflexologistGroup - Multi-Specialty