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Tree of Life Behavioral Health, LLC

Details

Name: Tree of Life Behavioral Health, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 22 Apr 2015 (10 years ago) (Companies founded in April 2015)
Entity Number: 000-334-185
Register Number: 000334185
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 100 OXMOORE ROAD SUITE 110BIRMINGHAM, AL 35209

Activities NOT PROVIDED

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770961229 2015-05-15 2024-08-14 190 LIME QUARRY RD STE 111, MADISON, AL, 357588975, US 190 LIME QUARRY RD STE 111, MADISON, AL, 357588975, US

Contacts

Phone +1 256-278-2802
Fax 2563750744

Authorized person

Name MS. JESSICA LORENA PENOT
Role OWNER/COUNSELOR
Phone 2562782802

Taxonomy

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

Agent

Name Role Address
USCA INC Agent 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203

Organizer

Name Role Address
LEGALZOOM.COM INC Organizer 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State