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ADVANCED BEHAVIORAL HEALTH, LLC

Details

Name: ADVANCED BEHAVIORAL HEALTH, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 16 Jun 2014 (10 years ago)
Entity Number: 000-312-267
Register Number: 000312267
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 100 WASHINGTON STREET SUITE 200HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801

Activities PRODESSIONAL COUNSELING

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558874149 2017-11-06 2019-06-11 300 CLINTON AVE W STE 21, HUNTSVILLE, AL, 358015590, US 300 CLINTON AVE W STE 21, HUNTSVILLE, AL, 358015590, US

Contacts

Phone +1 256-945-7959
Fax 8448336066

Authorized person

Name DAVID RAY STEPHENS
Role LICENSED PROFESSIONAL COUNSELOR
Phone 2569457959

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
License Number 2776
State AL
Is Primary Yes

Agent

Name Role Address
JONES, D A Agent 100 WASHINGTON STREETHUNTSVILLE, AL 35801

Organizer

Name Role Address
STEPHENS, DAVID R Organizer 100 WASHINGTON STREET SUITE 200HUNTSVILLE, AL 35801
JONES, D ASHLEY Organizer 100 WASHINGTON STREET STE 100HUNTSVILLE, AL 35801

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State