Mainy Mane Hair Boutique

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MAINY MANE HAIR BOUTIQUE

Practice address

3003 East Michigan Ave
Lansing, MI 48912

Phone

(248) 234-2392

NPI assigned

Jun 15, 2023

Last updated

Jun 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charmain Carter

Title

Executive

Phone

(248) 234-2393

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1477238707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21370 INDEPENDENCE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765545",
            "telephone_number": "248-234-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 EAST MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48912",
            "telephone_number": "248-234-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINY MANE HAIR BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CHARMAIN",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "248-234-2393"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Maier, PEER RECOVERY COACH
• Gracelynn Maike
• Charles Main, PHARMDD
• Jaymie Main
• Kimberly Maingu
• Nadja Maison, LLMSW
• Venkata Satyanarayana Majeti, PHARMACIST
• Emil N Majetich Jr., BCBA, LBA
• Rachel Makinde
• Safwan Malas, M.D.

• Customized Equipment (DME) in Lansing, MI
• Providers in Lansing, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.