Search icon

Tabia Keonna Woolfork Recreational Mental Health Fitness Facility

Details

Name: Tabia Keonna Woolfork Recreational Mental Health Fitness Facility
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 11 Mar 2016 (9 years ago) (Companies founded in March 2016)
Entity Number: 000-356-336
Register Number: 000356336
ZIP code: 36116 (Companies in Montgomery, 36116)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: 6021 PORTSMOUTH CTMONTGOMERY, AL 36116

Activities CHARITABLE/RELIGIOUS/EDUCATIONAL/SCIENTIFIC PURPOSES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639805500 2022-07-25 2022-07-25 6021 PORTSMOUTH CT, MONTGOMERY, AL, 361167103, US 853 S COURT ST, MONTGOMERY, AL, 361044905, US

Contacts

Phone +1 334-538-5529
Phone +1 334-647-1880

Authorized person

Name PEGGIE LEE HATTEN
Role FOUNDER
Phone 3346471880

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
HATTEN, PEGGIE Agent 6021 PORTSMOUTH CTMONTGOMERY, AL 36116

Director

Name Role Address
HATTEN, PEGGIE Director 6021 PORTSMOUTH CTMONTGOMERY, AL 36116
JENKINS, TERRI Director 7185 ROUGH RDMONTGOMERY, AL 36116
JENKINS, CHARLIE Director 7185 ROUGH RDMONTGOMERY, AL 36116
WOOLFORK, EUGENE Director 160 COMMANCHE ST APT 18MONTEVALLO, AL 35115
HATTEN, MARY Director 5728 PORTSMOUTH DRMONTGOMERY, AL 36116

Incorporator

Name Role Address
HATTEN, PEGGIE Incorporator 6021 PORTSMOUTH CTMONTGOMERY, AL 36116

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State