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Covenant Recovery Center, LLC

Details

Name: Covenant Recovery Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 13 Sep 2017 (7 years ago) (Companies founded in September 2017)
Date of dissolution: 15 Feb 2022
Entity Number: 000-403-091
Register Number: 000403091
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 3007 MEMORIAL PARKWAY SW, SUITE CHUNTSVILLE, AL 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366959561 2018-01-09 2018-01-09 3007 MEMORIAL PKWY SW STE C, HUNTSVILLE, AL, 358015394, US 3007 MEMORIAL PKWY SW STE C, HUNTSVILLE, AL, 358015394, US

Contacts

Phone +1 256-882-2003
Fax 2567054630

Authorized person

Name DR. KENNETH DEAN WILLIS
Role SOLE MEMBER
Phone 2568822003

Taxonomy

Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary Yes

Agent

Name Role Address
WILLIS, KENNETH D Agent 3007 MEMORIAL PKWAY SW STE DHUNTSVILLE, AL 35801

Organizer

Name Role Address
WILLIS, KENNETH D Organizer 3007 MEMORIAL PKWAY SW STE DHUNTSVILLE, AL 35801

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State