| Name: | David Anakwenze, MD Psychiatric Outreach, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Jun 2006 (18 years ago) |
| Entity Number: | 000-480-232 |
| Register Number: | 000480232 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | FLORENCE, AL |
| Registered Office Street Address: | 250 NORTH SEQUOIA BLVDFLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
Activities
PSYCHIATRIC MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487722302 | 2006-11-30 | 2024-05-09 | 2809 W MALL DR, FLORENCE, AL, 356301563, US | 2809 W MALL DR, FLORENCE, AL, 356301563, US | |||||||||||||||||||
|
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| Phone | +1 256-767-4805 |
| Fax | 2567674954 |
Authorized person
| Name | DAVID ANAKWENZE |
| Role | MEDICAL DOCTOR |
| Phone | 2567674805 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | AL23908 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ANAKWENZE, DAVID | Agent |
| Name | Role |
|---|---|
| ANAKWENZE, DAVID | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
