Provider Demographics
NPI:1902608854
Name:FACE CAFE HIGHPOINT GLAM AND WELLNESS BAR
Entity type:Organization
Organization Name:FACE CAFE HIGHPOINT GLAM AND WELLNESS BAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CIARA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWA
Authorized Official - Phone:336-734-9797
Mailing Address - Street 1:2209 EASTCHESTER DR STE 105
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1525
Mailing Address - Country:US
Mailing Address - Phone:336-734-9797
Mailing Address - Fax:
Practice Address - Street 1:2209 EASTCHESTER DR STE 105
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1525
Practice Address - Country:US
Practice Address - Phone:336-734-9797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty