Organization
GLAZED SKIN STUDIO LLC
Active
Organization
GLAZED SKIN STUDIO LLC
Active
Other names
Mint Skin Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA JEFFCOAT LE, CPT (MANAGING AESTHETICIAN)
(678) 524-5147
Entity
Organization
Contact information
Practice address
2215 SMYRNA RD SW, CONYERS, GA 30094-6170
(678) 524-5147
Mailing address
2215 SMYRNA RD SW, CONYERS, GA 30094-6170
(678) 524-5147
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up