| Name: | Keystone Recovery, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Feb 2006 (19 years ago) (Companies founded in February 2006) |
| Entity Number: | 000-475-145 |
| Register Number: | 000475145 |
| ZIP code: | 36527 (Companies in Baldwin, 36527) |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | SPANISH FORT, AL |
| Registered Office Street Address: | 111 TERRY STSPANISH FORT, AL 36527 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407030463 | 2007-12-26 | 2007-12-26 | 29000 US HIGHWAY 98, SUITE A-203, DAPHNE, AL, 365267272, US | 29000 US HIGHWAY 98, SUITE A-203, DAPHNE, AL, 365267272, US | |||||||||||||||||||||||||
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| Phone | +1 251-626-5797 |
Authorized person
| Name | MRS. MARY ASHLEY CASSITY SIMPSON |
| Role | PROGRAM DIRECTOR/THERAPIST |
| Phone | 2516265797 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | 150MLAP |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | C1058A |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SIMPSON, ASHLEY C | Agent |
| Name | Role |
|---|---|
| SIMPSON, ASHLEY C | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
