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Kingdom Retreat Salon And More LLC

Homeopath in Houston, TX. Organization (NPI-2).

NPI number1124936612
StatusActive
Last updated in NPPESAug 28, 2026

Details

NPI
1124936612
Entity type
Organization (NPI-2)
Legal business name
Kingdom Retreat Salon And More LLC
Organization subpart
No
Enumeration date
Aug 28, 2026
Certification date
Aug 27, 2026
Last updated
Aug 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175L00000X Homeopath––Yes
302F00000X Exclusive Provider Organization––
305S00000X Point of Service––
332900000X Non-Pharmacy Dispensing Site––
335E00000X Prosthetic/Orthotic Supplier––

Practice location

12680 W Lake Houston Pkwy Ste 500
Houston, TX 77044-6088

Phone 832-850-0968

Mailing address

12680 W Lake Houston Pkwy Ste 500
Houston, TX 77044-6088

Phone 832-850-0968

Authorized official

Latrice Williams-Tolbert
Clinical Trichologist
8328500968

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