Majestic Peacock LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

MAJESTIC PEACOCK LLC

Doing business as

Lice Clinics of America - Williamson County

Practice address

330 Mallory Station Rd Ste F17
Franklin, TN 37067-2861

Phone

(615) 314-2479

NPI assigned

Aug 10, 2024

Organization subpart

No

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

Authorized official

Name

Joseph West

Title

Owner

Phone

(804) 218-4232

Specialties & licenses 1

Addresses

Other names 1

• Lice Clinics of America - Williamson County Doing business as

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723248000000",
    "number": "1891526901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MALLORY STATION RD STE F17",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672861",
            "telephone_number": "615-314-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MALLORY STATION RD STE F17",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672861",
            "telephone_number": "615-314-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC PEACOCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-10",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-218-4232"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lice Clinics of America - Williamson County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ginger Magruder, FNP
• Caylin Maguire, RBT
• Leigha Maher
• Simone Maia
• Sara Dean Maiville, APRN-BC
• Lerone Major, LMT, NCTMB
• Anna Elizabeth Malinowski, DMD
• Emily Malinowski
• Chandler Malloy, OTR/L
• Brenna Anne Malone, B.S., RBT

• Other Technician in Franklin, TN
• Providers in Franklin, TN by specialty
• Other Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.