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Organization
KINGDOM RETREAT SALON AND MORE LLC
Active
Organization
KINGDOM RETREAT SALON AND MORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATRICE WILLIAMS-TOLBERT TC, HLPC, (CLINICAL TRICHOLOGIST)
(832) 850-0968
Entity
Organization
Contact information
Practice address
12680 W LAKE HOUSTON PKWY STE 500, HOUSTON, TX 77044-6088
(832) 850-0968
Mailing address
12680 W LAKE HOUSTON PKWY STE 500, HOUSTON, TX 77044-6088
(832) 850-0968
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
—
NULL
175L00000X
Homeopath
Primary
—
—
302F00000X
Exclusive Provider Organization
—
NULL
305S00000X
Point of Service
—
NULL
332900000X
Non-Pharmacy Dispensing Site
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
08/28/2026
Last updated
08/28/2026
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