LTL Trichology Clinic LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

LTL TRICHOLOGY CLINIC LLC

Practice address

32 W Main St
Martinsville, VA 24112-2722

Phone

(276) 340-1044

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Chantilla Lynn Hairston

Title

Owner an Servicer

Phone

(276) 340-1044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1821759416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W MAIN ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122722",
            "telephone_number": "276-340-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W MAIN ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122722",
            "telephone_number": "276-340-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTL TRICHOLOGY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "CHANTILLA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER AN SERVICER",
        "authorized_official_telephone_number": "276-340-1044"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Case Manager/Care Coordinator in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.