Black Essence Beauty Supply

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BLACK ESSENCE BEAUTY SUPPLY

Doing business as

Lifestyle Locs

Practice address

8359 Frost Ave
Berkeley, MO 63134-1448

Phone

(314) 372-9683

NPI assigned

Sep 15, 2023

Last updated

Sep 18, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

BLACK ESSENCE BEAUTY SUPPLYAs reported in NPPES

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

Authorized official

Name

Dr. Danielle Carter, ED.DNPI 1265122493

Title

Owner

Phone

(314) 372-9683

Specialties & licenses 1

Addresses

Other names 1

• Lifestyle Locs Doing business as

Part of

Black Essence Beauty Supply

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danielle Carter, ED.D

  • Counselor
  • Saint Louis, MO
  • NPI 1265122493
  NPD Authorized official

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1760260368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8359 FROST AVE",
            "city": "BERKELEY",
            "state": "MO",
            "postal_code": "631341448",
            "telephone_number": "314-372-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8359 FROST AVE",
            "city": "BERKELEY",
            "state": "MO",
            "postal_code": "631341448",
            "telephone_number": "314-372-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK ESSENCE BEAUTY SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLACK ESSENCE BEAUTY SUPPLY",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-372-9683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Locs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mallory Adams, PHARMD
• Ophelia Anderson
• Lanora A Barman, RN
• Matt Bourne, PHARMD
• Katherine Dawn Boyer
• Bradley Edward Burns, D.C
• Caring Partners Medical Supply LLC
• Danielle Theresa Chavez, MS, RD, LD

• Prosthetic/Orthotic Supplier in Berkeley, MO
• Providers in Berkeley, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.