| Name: | Misti Keen LPC, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Dec 2016 (8 years ago) (Companies founded in December 2016) |
| Entity Number: | 000-378-471 |
| Register Number: | 000378471 |
| ZIP code: | 36030 (Companies in Butler, 36030) |
| County: | Butler |
| Place of Formation: | Butler County |
| Registered Office Street Address: | 590 SOUTH BOUTWELL ROADFOREST HOME, AL 36030 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417495979 | 2017-02-05 | 2017-02-05 | 590 S BOUTWELL RD, FOREST HOME, AL, 360305327, US | 590 S BOUTWELL RD, FOREST HOME, AL, 360305327, US | |||||||||||||||||
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| Phone | +1 334-437-5742 |
Authorized person
| Name | MISTI DAWN KEEN |
| Role | OWNER/THERAPIST |
| Phone | 3344375742 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 3395 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KEEN, MISTI | Agent | 107 CALDWELL STREETGREENVILLE, AL 36037 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
