Mona Venus Skin Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MONA VENUS SKIN CARE LLC

Practice address

2256 Northlake Pkwy Ste 204
Tucker, GA 30084-4004

Phone

(404) 220-8085

NPI assigned

Apr 11, 2022

Organization subpart

No

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

Authorized official

Name

Venus Simmons, LMT

Title

Owner

Phone

(404) 220-8085

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1295477149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 HUGH HOWELL RD STE B300",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844918",
            "telephone_number": "404-220-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 NORTHLAKE PKWY STE 204",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844004",
            "telephone_number": "404-220-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA VENUS SKIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "VENUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-220-8085",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Tucker, GA
• Providers in Tucker, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.