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Key Changes, LLC

Details

Name: Key Changes, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Aug 2012 (12 years ago)
Entity Number: 000-073-864
Register Number: 000073864
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 101 MEDICAL DRIVEDOTHAN, AL 36303
Registered Office Street Address ZIP Code: 36303

Activities PROVIDE COUNSELING OR THERAPEUTIC SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073862934 2012-09-06 2012-09-06 101 MEDICAL DRIVE, DOTHAN, AL, 36303, US 101 MEDICAL DRIVE, DOTHAN, AL, 36303, US

Contacts

Phone +1 334-702-7222
Fax 3347021944

Authorized person

Name MRS. JENNIFER SEYMOUR TOMPKINS
Role LICENSED PROFESSIONAL COUNSELOR
Phone 3347027222

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
License Number 2812
State AL
Is Primary Yes

Organizer

Name Role Address
TOMPKINS, JENNIFER S Organizer 101 MEDICAL DRIVEDOTHAN, AL 36303

Agent

Name Role Address
TOMPKINS, JENNIFER S Agent 101 MEDICAL DRIVEDOTHAN, AL 36303

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State