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Aspen Family Center of Alabama, LLC

Details

Name: Aspen Family Center of Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Oct 2014 (10 years ago)
Entity Number: 000-321-699
Register Number: 000321699
County: Jefferson
Place of Formation: Jefferson County
Principal Address: 336 RICHMAR DRBIRMINGHAM, AL 35213
Principal Address ZIP Code: 35213

Activities ANY LAWFUL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154729622 2014-12-15 2014-12-15 336 RICHMAR DR, MOUNTAIN BRK, AL, 352134418, US 336 RICHMAR DR, MOUNTAIN BRK, AL, 352134418, US

Contacts

Phone +1 937-726-8629

Authorized person

Name TANYA MARIE ODANIEL
Role DIRECTOR
Phone 9377268629

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
License Number 3623C
State AL
Is Primary Yes

Organizer

Name Role Address
O'DANIEL, TANYA Organizer 336 RICHMAR DRBIRMINGHAM, AL 35213
STARRETT, MARK Organizer 336 RICHMAR DRBIRMINGHAM, AL 35213

Agent

Name Role Address
O'DANIEL, TANYA Agent 336 RICHMAR DRBIRMINGHAM, AL 35213

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State