HAIR REVOLUTION LLC NPI 1073480133

NPI Information

  • NPI: 1073480133
  • Provider Name: HAIR REVOLUTION LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 17535 CORAL GABLES AVE
    LATHRUP VILLAGE, MI
    ZIP 48076
  • Phone: (248) 259-2757

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NPI Details

HAIR REVOLUTION LLC is a clinic center in Lathrup Village, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HAIR REVOLUTION LLC NPI is 1073480133. The provider is registered as an organization entity type.

The provider's business location address is:

17535 CORAL GABLES AVE
LATHRUP VILLAGE, MI
ZIP 48076-603
Phone: (248) 259-2757

The provider's authorized official is Saundranita Rezia Powe .
The authorized official title is Owner/trichologist and has the following contact phone number (248) 259-2757.

The enumeration date for this NPI number is 10/22/2025 and was last updated on 10/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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