MEDICARE: LIFTED STRANDS BY MORCIA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1588527485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFTED STRANDS BY MORCIA LLC

Provider Business Mailing Address
First Line	:	10120 TWO NOTCH RD STE 157
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-4395
Country	:	US
Telephone Number	:	803-801-1003
Fax Number	:

Provider Business Practice Location Address
First Line	:	9367 TWO NOTCH RD STE 118
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-6442
Country	:	US
Telephone Number	:	803-801-1003
Fax Number	:

Authorized Official
Title or Position	:	CEO/HAIRLOSS SPECIALIST
Name	:	MORCIA BRADLEY
Credential	:
Telephone Number	:	907-350-1003

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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