# GRACE AESTHETICS & BEAUTY LOUNGE,LLC

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

## Provider details

- **NPI number:** 1851061709
- **Authorized official:** BRENTONIA ASKEW DIRECTOR (OWNER)
- **Authorized official phone:** (334) 703-7869

## Contact information

- **Practice address:** 2210 GATEWAY DR STE B, OPELIKA, AL 36801-6875
- **Practice address phone:** (334) 737-5174
- **Mailing address:** 2210 GATEWAY DR STE B, OPELIKA, AL 36801-6875
- **Mailing address phone:** (334) 737-5174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2021
- **Last updated:** 09/13/2021