Provider Demographics
NPI:1336909324
Name:EUPHORIA NATURALS MODERN ESTHETICS & WELLNESS
Entity Type:Organization
Organization Name:EUPHORIA NATURALS MODERN ESTHETICS & WELLNESS
Other - Org Name:FLOWING HANDS MASSAGE CLINICAL THERAPY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEE ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTON
Authorized Official - Suffix:
Authorized Official - Credentials:LE
Authorized Official - Phone:706-627-6005
Mailing Address - Street 1:4381 FULCHER RD
Mailing Address - Street 2:
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-5591
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5150 WOODSIDE EXECUTIVE CT
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-3814
Practice Address - Country:US
Practice Address - Phone:706-627-6005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No171400000XOther Service ProvidersHealth & Wellness Coach
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty