Healthcare Provider Details

I. General information

NPI: 1467308445
Provider Name (Legal Business Name): ALLURE ME THE MEDA SPA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 SEDWICK RD STE 102
DURHAM NC
27713-2658
US

IV. Provider business mailing address

2222 SEDWICK RD STE 102
DURHAM NC
27713-2658
US

V. Phone/Fax

Practice location:
  • Phone: 919-630-0623
  • Fax:
Mailing address:
  • Phone: 919-630-0623
  • 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: ANTONIA GEORGE
Title or Position: OWNER
Credential:
Phone: 919-630-0623