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Ellen L. Odom, LLC

Details

Name: Ellen L. Odom, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Jan 2008 (17 years ago) (Companies founded in January 2008)
Entity Number: 000-414-157
Register Number: 000414157
ZIP code: 36606 (Companies in Mobile, 36606)
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 2864 DAUPHIN ST STE AMOBILE, AL 36606

Activities PSYCHOLOGICAL SERVICES/TREATMENT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497473870 2022-08-22 2022-08-22 5700 REGENCY CT S, MOBILE, AL, 366093277, US 5700 REGENCY CT S, MOBILE, AL, 366093277, US

Contacts

Phone +1 251-379-9434

Authorized person

Name ELLEN ODOM
Role LICENSED PROFESSIONAL COUNSELOR
Phone 2513799434

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role
ODOM, ELLEN L Agent

Member

Name Role
ODOM, ELLEN L Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State