MEDICARE: HAIR CHEMISTRY, 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	224P00000X	Prosthetist

General Provider Information

NPI Number	:	1891629770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAIR CHEMISTRY, LLC

Provider Business Mailing Address
First Line	:	7507 STONECUTTER CT APT E
Second Line	:
City	:	ROSEDALE
State	:	MD
Zip	:	21237-3634
Country	:	US
Telephone Number	:	443-916-4040
Fax Number	:

Provider Business Practice Location Address
First Line	:	2431 CLEANLEIGH DR STE 118
Second Line	:
City	:	PARKVILLE
State	:	MD
Zip	:	21234-6808
Country	:	US
Telephone Number	:	443-916-4040
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. CRYSTAL CERISE LOVE
Credential	:
Telephone Number	:	443-916-4040

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “HAIR CHEMISTRY, LLC ” Practice Location

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