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HealthSource of Huntsville-Providence, LLC

Details

Name: HealthSource of Huntsville-Providence, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Apr 2012 (13 years ago) (Companies founded in April 2012)
Entity Number: 000-052-593
Register Number: 000052593
Historical Names: HealthSource of Providence, LLC
ZIP code: 35756 (Companies in Limestone, 35756)
County: Limestone
Place of Formation: Limestone County
Registered Office Street Address: 242 HEALEY DRIVEMADISON, AL 35756

Activities OPERATE AND DEAL WITH CHIROPRACTIC CLINICS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609123256 2012-08-13 2024-02-07 485 PROVIDENCE MAIN STREET, SUITE 100, HUNTSVILLE, AL, 358062673, US 485 PROVIDENCE MAIN ST NW STE 100, HUNTSVILLE, AL, 358064899, US

Contacts

Phone +1 256-221-0163
Phone +1 256-327-4900

Authorized person

Name DR. JOSEPH PAUL LAWRENCE
Role OWNER/CHIROPRACTOR
Phone 2562210163

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Member

Name Role Address
LAWRENCE, AMY Member No data
LAWRENCE, JOSEPH Member 330 NW 4TH AVENUECARBON HILL, AL 35549

Organizer

Name Role Address
LAWRENCE, JOSEPH Organizer 330 NW 4TH AVENUECARBON HILL, AL 35549

Agent

Name Role Address
LAWRENCE, JOSEPH Agent 330 NW 4TH AVENUECARBON HILL, AL 35549

Events

Event Date Event Type Old Value New Value
2012-09-10 Name Change HealthSource of Providence, LLC HealthSource of Huntsville-Providence, LLC

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State