Provider Demographics
NPI:1982447785
Name:NO BOYS ALLOWED ATLANTA LLC
Entity type:Organization
Organization Name:NO BOYS ALLOWED ATLANTA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HAIR LOSS PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-789-5524
Mailing Address - Street 1:3650 ASHFORD DUNWOODY RD NE UNIT 513
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-2081
Mailing Address - Country:US
Mailing Address - Phone:678-789-5524
Mailing Address - Fax:770-353-4964
Practice Address - Street 1:4505 ASHFORD DUNWOODY RD NE UNIT 131
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30346-1514
Practice Address - Country:US
Practice Address - Phone:678-789-5524
Practice Address - Fax:770-353-4964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Multi-Specialty