Healthcare Provider Details

I. General information

NPI: 1588527485
Provider Name (Legal Business Name): LIFTED STRANDS BY MORCIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9367 TWO NOTCH RD STE 118
COLUMBIA SC
29223-6442
US

IV. Provider business mailing address

10120 TWO NOTCH RD STE 157
COLUMBIA SC
29223-4395
US

V. Phone/Fax

Practice location:
  • Phone: 803-801-1003
  • Fax:
Mailing address:
  • Phone: 803-801-1003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MORCIA BRADLEY
Title or Position: CEO/HAIRLOSS SPECIALIST
Credential:
Phone: 907-350-1003