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Individual

IKEIA BEAUTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11767 KATY FWY STE 1130, HOUSTON, TX 77079-1731
(328) 316-1788
Mailing address
1535 MOORE RD APT 330, STAFFORD, TX 77477-6857
(985) 647-6225

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker

Other

Enumeration date
07/31/2018
Last updated
06/30/2025
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