| Name: | CLEVELAND BEHAVIORAL THERAPY, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 27 Jul 2015 (9 years ago) |
| Date of dissolution: | 13 Jul 2018 |
| Entity Number: | 000-341-528 |
| Register Number: | 000341528 |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Registered Office Street Address: | 11019 DOVE DRIVEMADISON, AL 35756 |
| Registered Office Street Address ZIP Code: | 35756 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720464498 | 2015-08-05 | 2015-08-05 | 11019 DOVE DR, MADISON, AL, 357564301, US | 9238 MADISON BLVD, MADISON, AL, 357589100, US | |||||||||||||||||
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| Phone | +1 256-603-1381 |
Authorized person
| Name | MRS. JESSICA DAWN CLEVELAND |
| Role | LICENSED COUNSELOR |
| Phone | 2566031381 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | 2919 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CLEVELAND, JESSICA | Agent |
| Name | Role | Address |
|---|---|---|
| JONES, D ASHLEY | Organizer | 100 WASHINGTON STREET STE 100HUNTSVILLE, AL 35801 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
