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Lifetime Behavioral Services, LLC.

Details

Name: Lifetime Behavioral Services, LLC.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 09 Sep 2005 (19 years ago)
Date of dissolution: 04 Jan 2022
Entity Number: 000-468-820
Register Number: 000468820
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 165 WHITESPORT DR STE 1HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Principal Address: HUNTSVILLE, AL

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992834030 2007-03-05 2020-08-22 PO BOX 4008, HUNTSVILLE, AL, 358154008, US 165 WHITESPORT DR SW, SUITE 1, HUNTSVILLE, AL, 358016484, US

Contacts

Phone +1 256-883-7031
Fax 2568837032

Authorized person

Name DEBRA L WILLIAMS
Role OWNER
Phone 2568837031

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Agent

Name Role
WILLIAMS, DEBRA L Agent

Member

Name Role
WILLIAMS, DEBRA L Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State