# HEAVENLY TRESSES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811435019
- **Authorized official:** JESSICA RENNER-THOMAS HAIR LOSS SPECIALIST (OWNER)
- **Authorized official phone:** (855) 487-3773

## Contact information

- **Practice address:** 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
- **Practice address phone:** (855) 487-3773
- **Practice address fax:** (855) 269-2733
- **Mailing address:** 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
- **Mailing address phone:** (855) 487-3773
- **Mailing address fax:** (855) 269-2733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1744P3200X | Prosthetics Case Management | — | NULL | — |
| 1744P3200X | Prosthetics Case Management | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2017
- **Last updated:** 11/08/2024