Divine Beauty Supply Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DIVINE BEAUTY SUPPLY INC

Practice address

2715 Mackey PL Ste 130
Shreveport, LA 71118-2528

Phone

(318) 657-0416

NPI assigned

Dec 29, 2023

Organization subpart

No

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

Authorized official

Name

Lakeshia CarheeNPI 1336502087

Title

Owner

Phone

(318) 773-3600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lakeshia Carhee, LCSW

  • Clinical Social Worker
  • Shreveport, LA
  • NPI 1336502087
  NPD Authorized official

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1306615422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 POLK ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522414",
            "telephone_number": "318-657-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 MACKEY PL STE 130",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182528",
            "telephone_number": "318-657-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE BEAUTY SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "CARHEE",
        "authorized_official_first_name": "LAKESHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-773-3600"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discount Medical Supply, Inc.
• Discovery Counseling Services
• Discrete Enterprises
• Meagan Marie Disotell, NP
• Richard Nathan Disotell, CRNA
• Divine Behavioral Health, LLC
• Divine Case Management LLC
• Divine Case Management,LLC
• Divine Case Management,LLC
• Divine Health Care Service

• Prosthetic/Orthotic Supplier in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.