MLM Skin and Hair Restoration Clinic LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MLM SKIN AND HAIR RESTORATION CLINIC LLC

Practice address

101 E Forest Ave
Columbia, MO 65203-4067

Phone

(573) 489-1059

NPI assigned

Jan 15, 2026

Organization subpart

No

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

Authorized official

Name

Mary MossNPI 1174496889

Title

Trichologist

Phone

(573) 489-1059

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.

• Mary Louella Moss

  • Prosthetics Case Management
  • Columbia, MO
  • NPI 1174496889
  NPD Authorized official

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1669331740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E FOREST AVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034067",
            "telephone_number": "573-489-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E FOREST AVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034067",
            "telephone_number": "573-489-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLM SKIN AND HAIR RESTORATION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "TRICHOLOGIST",
        "authorized_official_telephone_number": "573-489-1059"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn D Mitchell, M.D.
• Tanisi Amit Mittal, AUD
• Robert Charles Mix, DNP, CRNA
• Thomas Alexander Mizera, MD
• Mjal Care LLC
• Alimah Safiyah Moad
• Ruthie Moccia, ED.S.
• Mochix (Daily Living Medical)
• Jhalak Modi, MD
• Melinda Moellering

• Dermatology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.