| Name: | Balanced Body Healthcare, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Jan 2010 (15 years ago) |
| Entity Number: | 000-441-761 |
| Register Number: | 000441761 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | MADISON, AL |
| Registered Office Street Address: | 8121 MADISON BLVD STE 102MADISON, AL 35758 |
| Registered Office Street Address ZIP Code: | 35758 |
Activities
CHIROPRACTIC CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861721144 | 2009-12-15 | 2009-12-15 | 104 OVERLEAF PT SW, HUNTSVILLE, AL, 358243102, US | 8121 MADISON BLVD STE 102, MADISON, AL, 357582018, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-464-7260 |
| Fax | 2567727066 |
Authorized person
| Name | LISA CROCKETT |
| Role | CEO |
| Phone | 2564647260 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2286 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | 2286 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| License Number | 2286 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 261QV0200X - VA Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| CROCKETT, LISA | Agent |
| Name | Role | Address |
|---|---|---|
| CROCKETT, GARY | Member | 104 OVERLEAF POINTHUNTSVILLE, AL 35824 |
| CROCKETT, LISA | Member | No data |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
