Provider Demographics
NPI:1871468637
Name:ELABORATE YOU HAIR LASH AESTHETICS LLC
Entity type:Organization
Organization Name:ELABORATE YOU HAIR LASH AESTHETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:KREYMOHNEY
Authorized Official - Middle Name:DESIREE
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:SPECIALIST
Authorized Official - Phone:734-598-1564
Mailing Address - Street 1:122 S MAIN ST STE 110
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-1925
Mailing Address - Country:US
Mailing Address - Phone:734-598-1564
Mailing Address - Fax:734-540-9689
Practice Address - Street 1:122 S MAIN ST STE 110
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-1925
Practice Address - Country:US
Practice Address - Phone:734-598-1564
Practice Address - Fax:734-540-9689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier