| Name: | Emily Bell, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Jul 2015 (9 years ago) |
| Entity Number: | 000-340-482 |
| Register Number: | 000340482 |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 110 PAUL REVERE RUNDOTHAN, AL 36305 |
| Registered Office Street Address ZIP Code: | 36305 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881250165 | 2019-05-13 | 2021-05-19 | 187 BELMONT DR, DOTHAN, AL, 363056500, US | 187 BELMONT DR, DOTHAN, AL, 363056500, US | |||||||||||||||||||||||||||
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| Phone | +1 334-671-1280 |
| Fax | 3346710475 |
Authorized person
| Name | MRS. EMILY BELL |
| Role | OWNER |
| Phone | 3346711280 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | 102I802476 |
| State | AL |
| Issuer | MEDICAID |
| Number | 240208 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| BELL, EMILY | Agent | 3994 HADDON LANEBIRMINGHAM, AL 35226 |
| Name | Role | Address |
|---|---|---|
| BELL, EMILY | Organizer | 3994 HADDON LANEBIRMINGHAM, AL 35226 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
