Provider Demographics
NPI:1750153995
Name:TRESS CONNOISSEURS HAIR EXTENSION COMPANY, L.L.C
Entity type:Organization
Organization Name:TRESS CONNOISSEURS HAIR EXTENSION COMPANY, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GYSANDA
Authorized Official - Middle Name:MARZELLA
Authorized Official - Last Name:PARKER-BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-608-3880
Mailing Address - Street 1:16881 BIRDIE CT
Mailing Address - Street 2:
Mailing Address - City:WAGRAM
Mailing Address - State:NC
Mailing Address - Zip Code:28396-8003
Mailing Address - Country:US
Mailing Address - Phone:910-587-5088
Mailing Address - Fax:
Practice Address - Street 1:846 ELM ST STE E
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4167
Practice Address - Country:US
Practice Address - Phone:720-608-3880
Practice Address - Fax:910-500-5183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty
No335E00000XSuppliersProsthetic/Orthotic Supplier