| Name: | Walker Generations, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 20 May 2015 (9 years ago) |
| Date of dissolution: | 14 Feb 2018 |
| Entity Number: | 000-336-547 |
| Register Number: | 000336547 |
| County: | Walker |
| Place of Formation: | Walker County |
| Registered Office Street Address: | 1608 LANGSTON RDCARBON HILL, AL 35549-3114 |
| Registered Office Mailing Address: | 2101 3RD AVENUE SOUTH, UNIT 411JASPER, AL 35502 |
| Registered Office Mailing Address ZIP Code: | 35502 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235518853 | 2015-05-28 | 2016-02-16 | 1608 LANGSTON RD, CARBON HILL, AL, 355493114, US | 1608 LANGSTON RD, CARBON HILL, AL, 355493114, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 205-471-5388 |
| Fax | 2059248600 |
Authorized person
| Name | BRIAN MALONEY |
| Role | OWNER |
| Phone | 2054715388 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | 2349C |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 2349C |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 179500 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| MALONEY, BRIAN | Agent | 1608 LANGSTON RDCARBON HILL, AL 35549 |
| Name | Role | Address |
|---|---|---|
| MALONEY, BRIAN | Organizer | 1608 LANGSTON RDCARBON HILL, AL 35549 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
