| Name: | Mulberry Wellness Salon LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Feb 2012 (13 years ago) |
| Entity Number: | 000-041-042 |
| Register Number: | 000041042 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | 1734 MULBERRY STREETMONTGOMERY, AL 36106 |
| Principal Address ZIP Code: | 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 | |||||||||||||||||||||||||||||||||||||||||||||||||
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| 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
