Name: | Mulberry Wellness Salon LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 13 Feb 2012 (13 years ago) (Companies founded in February 2012) |
Entity Number: | 000-041-042 |
Register Number: | 000041042 |
ZIP code: | 36106 (Companies in Montgomery, 36106) |
County: | Montgomery |
Place of Formation: | Montgomery County |
Principal Address: | 1734 MULBERRY STREETMONTGOMERY, AL 36106 |
Activities
PROVIDE COSMETOLOGY SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1669732301 | 2012-05-28 | 2013-07-31 | 1734 MULBERRY ST, MONTGOMERY, AL, 361061524, US | 1734 MULBERRY ST, MONTGOMERY, AL, 361061524, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 334-819-7249 |
Fax | 3348197249 |
Authorized person
Name | MS. RAMONA J WASHINGTON |
Role | MASTER COSMETOLOGIST/OWNER |
Phone | 3348685189 |
Taxonomy
Taxonomy Code | 174400000X - Specialist |
License Number | 161733 |
State | AL |
Is Primary | No |
Taxonomy Code | 1744P3200X - Prosthetics Case Management |
License Number | 39089 |
State | AL |
Is Primary | No |
Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
License Number | 161733 |
State | AL |
Is Primary | No |
Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
License Number | 39089 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MASTER COSMETOLOGIST; NON-SURGICAL HAIR REPLACEMENT |
Number | 39089 |
State | AL |
Name | Role | Address |
---|---|---|
WASHINGTON, RAMONA | Agent | 1736 CREEK WAY AVENUE SWBIRMINGHAM, AL 35211 |
Name | Role | Address |
---|---|---|
MANUKYAN, ANNA | Organizer | 10601 Clarence Dr, Ste 250Frisco, TX 75033 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State