Provider Demographics
NPI:1194604751
Name:BEAUTY BY AVES LLC
Entity type:Organization
Organization Name:BEAUTY BY AVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AVERY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MALTZAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-690-5938
Mailing Address - Street 1:3715 COPPER SPRING DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-4530
Mailing Address - Country:US
Mailing Address - Phone:970-690-5938
Mailing Address - Fax:
Practice Address - Street 1:3726 S TIMBERLINE RD STE 102
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4332
Practice Address - Country:US
Practice Address - Phone:970-690-5938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service