Blowout Lounge LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BLOWOUT LOUNGE LLC

Doing business as

Silent Moment Spa

Practice address

4310 Park Rd
Unit 102
Charlotte, NC 28209

Phone

(704) 774-3494

NPI assigned

Aug 31, 2024

Organization subpart

Yes

Parent organization

FEEL GOOD AMERICA LLCAs reported in NPPES

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

Authorized official

Name

Lawrence Master

Title

President

Phone

(305) 833-1523

Specialties & licenses 1

Addresses

Other names 1

• Silent Moment Spa Doing business as

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

{
    "created_epoch": "1725062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725062400000",
    "number": "1730913609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 COLLINS AVE UNIT 805",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331605392",
            "telephone_number": "305-833-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 PARK RD",
            "address_2": "UNIT 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28209",
            "telephone_number": "704-774-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOWOUT LOUNGE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FEEL GOOD AMERICA LLC",
        "enumeration_date": "2024-08-31",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A",
        "authorized_official_last_name": "MASTER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-833-1523"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silent Moment Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.