Healthcare Provider Details

I. General information

NPI: 1750248167
Provider Name (Legal Business Name): BEAUTY FROM ASHES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 N DIVISION ST UNIT 303
SALISBURY MD
21801-5049
US

IV. Provider business mailing address

26813 JADE CT
HEBRON MD
21830-2116
US

V. Phone/Fax

Practice location:
  • Phone: 302-715-1162
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KRYSTAL HERRING
Title or Position: OWNER/LICENSED SOCIAL WORKER
Credential: LCSW-C
Phone: 443-309-2028