Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Beauty Supply Inc

Organization Prosthetic/Orthotic Supplier · NPI 1306615422

Divine Beauty Supply Inc is a Prosthetic/Orthotic Supplier in Shreveport, Louisiana. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2715 Mackey Pl Ste 130
Shreveport, LA 71118-2528
Phone: (318) 657-0416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1306615422
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lakeshia Carhee — Owner · (318) 773-3600
NPI enumeratedDecember 29, 2023
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023
Mailing address810 Polk St, Mansfield, LA 71052-2414

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