Healthcare Provider Details

I. General information

NPI: 1679301410
Provider Name (Legal Business Name): CARY HAIR REMOVAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 NEW EDITION CT
CARY NC
27511-4449
US

IV. Provider business mailing address

104 NEW EDITION CT
CARY NC
27511-4449
US

V. Phone/Fax

Practice location:
  • Phone: 919-460-1884
  • Fax:
Mailing address:
  • Phone: 919-460-1884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. DANA BEGLEY COMBOPIANO
Title or Position: PRESIDENT
Credential: CT, LHP, MA
Phone: 919-460-1884