Grace Aesthetics & Beauty Lounge,LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

GRACE AESTHETICS & BEAUTY LOUNGE,LLC

Practice address

2210 Gateway Dr Ste B
Opelika, AL 36801-6875

Phone

(334) 737-5174

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Brentonia Askew, DIRECTOR

Title

Owner

Phone

(334) 703-7869

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1851061709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 GATEWAY DR STE B",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016875",
            "telephone_number": "334-737-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 GATEWAY DR STE B",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016875",
            "telephone_number": "334-737-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AESTHETICS & BEAUTY LOUNGE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "ASKEW",
        "authorized_official_first_name": "BRENTONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-703-7869",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GRACEAESTHETICSBEAUTYLONGE.COM",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2210 Gateway Dr Ste B",
            "city": "Opelika",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368016875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Larae Glover
• Raymond D. Godsil Jr., M.D.
• Emily Ann Goforth
• Good News Wellness & Beauty Al LLC (Dr. Park Chiropractic)
• Amanda Leigh Goodman, DPT
• James Daniel Grady, D.M.D
• Allen T Graham, LPTA
• Edith K Graves, M.D.
• Peyton Christopher Greene, D.O.
• Christopher Greenleaf

• Health & Wellness Coach in Opelika, AL
• Providers in Opelika, AL by specialty
• Health & Wellness Coach in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.