| Name: | Warren Behavioral Care, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 03 Jan 2006 (19 years ago) (Companies founded in January 2006) |
| Entity Number: | 000-244-999 |
| Register Number: | 000244999 |
| ZIP code: | 36082 (Companies in Pike, 36082) |
| County: | Pike |
| Place of Formation: | Pike County |
| Principal Address: | TROY, AL |
| Registered Office Street Address: | MARRIED STUDENT APT 24TROY, AL 36082 |
| Authorized Capital: | $10,000 |
Activities
PROFESSIONAL COUNSELING SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851762009 | 2015-10-14 | 2015-10-14 | 201 REGENCY CT, DOTHAN, AL, 363051179, US | 201 REGENCY CT, DOTHAN, AL, 363051179, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 334-673-8869 |
Authorized person
| Name | FERNELLE WARREN |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 3348088991 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | 3455 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | 051532779 |
| State | AL |
| Issuer | BLUE CROSS AND BLUE SHIELD |
| Number | 51532779 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529927710 |
| State | AL |
| Name | Role |
|---|---|
| WARREN, FERNELLE L | Agent |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, JOEL LEE | Incorporator | P.O. BOX 446TROY, AL 36081 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
