Organization Active NPI

Kingdom Retreat Salon and More LLC

  • Homeopath
  • Houston, TX
National Provider Identifier
1124936612
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomeopathTaxonomy code 175L00000X
Legal business name
KINGDOM RETREAT SALON AND MORE LLC
Practice address
12680 W Lake Houston Pkwy Ste 500
Houston, TX 77044-6088
Phone
(832) 850-0968
NPI assigned
Aug 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Latrice Williams-Tolbert, TC, HLPC,
Title
Clinical Trichologist
Phone
(832) 850-0968

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
HomeopathGroup: 193400000X SINGLE SPECIALTY GROUP 175L00000X Primary
Exclusive Provider Organization 302F00000X
Point of Service 305S00000X
Non-Pharmacy Dispensing Site 332900000X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

12680 W Lake Houston Pkwy Ste 500
Houston, TX 77044-6088

Mailing address

12680 W Lake Houston Pkwy Ste 500
Houston, TX 77044-6088
Phone (832) 850-0968

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1124936612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12680 W LAKE HOUSTON PKWY STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770446088",
            "telephone_number": "832-850-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12680 W LAKE HOUSTON PKWY STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770446088",
            "telephone_number": "832-850-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM RETREAT SALON AND MORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-TOLBERT",
        "authorized_official_first_name": "LATRICE",
        "authorized_official_title_or_position": "CLINICAL TRICHOLOGIST",
        "authorized_official_telephone_number": "832-850-0968",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "TC, HLPC,"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.