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Thrive Pediatric Nutrition Specialists, Inc.

Details

Name: Thrive Pediatric Nutrition Specialists, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 14 Apr 2015 (10 years ago)
Entity Number: 000-333-565
Register Number: 000333565
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 5865 OLD LEEDS ROAD STE ABIRMINGHAM, AL 35210
Registered Office Street Address ZIP Code: 35210
Authorized Capital: 1000 @ $1.00 PV

Activities ANY AND ALL LAWFUL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265889612 2016-05-16 2016-05-16 2925 VIRGINIA RD, MOUNTAIN BRK, AL, 352231253, US 200 OFFICE PARK DR STE 205, MOUNTAIN BRK, AL, 352232455, US

Contacts

Phone +1 205-704-1641

Authorized person

Name MRS. ALI HOWARD ELLIOTT
Role REGISTERED DIETITIAN
Phone 2057041641

Taxonomy

Taxonomy Code 133VN1004X - Pediatric Nutrition Registered Dietitian
License Number 1814
State AL
Is Primary Yes

Agent

Name Role Address
PARKER, DOUG Agent 5865 OLD LEEDS ROAD STE ABIRMINGHAM, AL 35173

Incorporator

Name Role Address
ELLIOTT, ALI Incorporator 2925 VIRGINIA ROADBIRMINGHAM, AL 35223

Director

Name Role Address
ELLIOTT, ALI Director 2925 VIRGINIA ROADBIRMINGHAM, AL 35223

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State