| Name: | Aspire Integrative Health Clinic LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Jul 2015 (9 years ago) |
| Entity Number: | 000-340-447 |
| Register Number: | 000340447 |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 764 EAST GLENN AVENUEAUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225491426 | 2016-04-04 | 2016-04-04 | 2202 GATEWAY DR STE D, OPELIKA, AL, 368016870, US | 2202 GATEWAY DR STE D, OPELIKA, AL, 368016870, US | |||||||||||||||||
|
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| Phone | +1 334-203-1723 |
Authorized person
| Name | VIENGXAY MALAVONG |
| Role | OWNER |
| Phone | 3342031723 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | DO. 1492 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CHRISTOPHER S. MILLS | Agent |
| Name | Role | Address |
|---|---|---|
| Christopher Mills | Member | 764 East Glenn AveAUBURN, AL 36830 |
| Name | Role | Address |
|---|---|---|
| Christopher Mills | Organizer | 764 East Glenn AveAUBURN, AL 36830 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
