# ACT OF BEAUTY FAMILY PRACTICE WITH AESTHETICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Act of Beauty Family Practice with aesthetics, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245037456
- **Authorized official:** MANDY GALLAHER FNP-BC (OWNER)
- **Authorized official phone:** (814) 335-5965

## Contact information

- **Practice address:** 1229 TURNPIKE AVE, CLEARFIELD, PA 16830-3027
- **Practice address phone:** (814) 335-5965
- **Practice address fax:** (814) 205-4042
- **Mailing address:** 1229 TURNPIKE AVE, CLEARFIELD, PA 16830-3027
- **Mailing address phone:** (814) 335-5965
- **Mailing address fax:** (814) 205-4042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/26/2025
- **Last updated:** 03/09/2025