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SpectraCare Integrated Services, LLC

Details

Name: SpectraCare Integrated Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Sep 2016 (8 years ago)
Entity Number: 000-372-834
Register Number: 000372834
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 3542 MONTGOMERY HWYDOTHAN, AL 36303
Registered Office Street Address ZIP Code: 36303
Registered Office Mailing Address: PO BOX 1245DOTHAN, AL 36302
Registered Office Mailing Address ZIP Code: 36302

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205385176 2016-10-03 2016-10-03 PO BOX 1245, DOTHAN, AL, 363021245, US 3542 MONTGOMERY HWY, DOTHAN, AL, 363032165, US

Contacts

Phone +1 334-712-2720
Fax 3347122727

Authorized person

Name MRS. MELISSA KIRKLAND
Role CHIEF EXECTUTIVE OFFICER
Phone 3347122720

Taxonomy

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

Organizer

Name Role Address
LUMBATIS, ALLISON REID Organizer 360 NORTH OATES STREETDOTHAN, AL 36303

Agent

Name Role Address
KIRKLAND, MELISSA Agent 3542 MONTGOMERY HWYDOTHAN, AL 36303

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State