Name: | New Insight Integrated Health Services, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 22 Dec 2016 (8 years ago) (Companies founded in December 2016) |
Entity Number: | 000-379-307 |
Register Number: | 000379307 |
ZIP code: | 35209 (Companies in Jefferson, 35209) |
County: | Jefferson |
Place of Formation: | Jefferson County |
Registered Office Street Address: | 100 OXMOOR ROAD SUITE 110BIRMINGHAM, AL 35209 |
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||
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S2XSYWV7C7D1 | 2022-07-16 | 400 CENTURY PARK S STE 106, BIRMINGHAM, AL, 35226, 3925, USA | 400 CENTURY PARK SOUTH, SUITE 106, BIRMINGHAM, AL, 35226, 3925, USA | |||||||||||||||||||||||||||||||||||||||||||
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Division Name | NEW INSIGHT INTEGRATED HEALTH SERVICES LLC |
Congressional District | 06 |
State/Country of Incorporation | AL, USA |
Activation Date | 2021-06-29 |
Initial Registration Date | 2021-06-08 |
Entity Start Date | 2016-12-16 |
Fiscal Year End Close Date | Dec 31 |
Service Classifications
NAICS Codes | 621112, 621330, 621340, 622110, 624120, 624190 |
Points of Contacts
Electronic Business | |
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Title | PRIMARY POC |
Name | DEIRDRE C ROSE |
Role | OWNER/CEO |
Address | 400 CENTURY PARK SOUTH STE106, BIRMINGHAM, AL, 35226, USA |
Government Business | |
---|---|
Title | PRIMARY POC |
Name | DEIRDRE C ROSE |
Role | OWNER/CEO |
Address | 400 CENTURY PARK S STE 106, BIRMINGHAM, AL, 35226, USA |
Past Performance | Information not Available |
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NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1548733967 | 2019-01-08 | 2019-02-12 | 813 PARK AVE, FAIRFIELD, AL, 350641545, US | 7300 1ST AVE N STE A, BIRMINGHAM, AL, 352064213, US | |||||||||||||||||||||||
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Phone | +1 205-215-3980 |
Authorized person
Name | DEIRDRE CROCHEN ROSE |
Role | CEO |
Phone | 2053814445 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | Yes |
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | No |
Other Provider Identifiers
Issuer | LPC LICENSE |
Number | 3708 |
State | AL |
Name | Role | Address |
---|---|---|
USCA INC | Agent | 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203 |
Name | Role | Address |
---|---|---|
LEGALZOOM.COM INC | Organizer | 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State