| Name: | Kelly Dorr Moates, LMFT, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Feb 2009 (16 years ago) |
| Entity Number: | 000-430-834 |
| Register Number: | 000430834 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | TRUSSVILLE, AL |
| Registered Office Street Address: | 8170 GADSDEN HWY STE 100TRUSSVILLE, AL 35173 |
| Registered Office Street Address ZIP Code: | 35173 |
Activities
MARRIAGE/FAMILY THERAPY/GENERAL COUNSELING PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265839856 | 2014-11-25 | 2014-11-25 | 326 MAIN ST, SUITE B, TRUSSVILLE, AL, 351731425, US | 326 MAIN ST, SUITE B, TRUSSVILLE, AL, 351731425, US | |||||||||||||||||
|
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| Phone | +1 205-914-3035 |
Authorized person
| Name | MRS. KELLY DORR MOATES |
| Role | OWNER, THERAPIST |
| Phone | 2059143035 |
Taxonomy
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | 267 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MOATES, KELLY DORR | Agent |
| Name | Role |
|---|---|
| MOATES, KELLY DORR | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
