| Name: | Beautifully Broken Therapy Services LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Mar 2018 (7 years ago) |
| Entity Number: | 000-512-183 |
| Register Number: | 000512183 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 7027 OLD MADISON PIKE SUITE 108HUNTSVILLE, AL 35806 |
| Registered Office Street Address ZIP Code: | 35806 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033614466 | 2018-03-27 | 2018-03-27 | 7027 OLD MADISON PIKE NW STE 108, HUNTSVILLE, AL, 358062369, US | 7027 OLD MADISON PIKE NW STE 108, HUNTSVILLE, AL, 358062369, US | |||||||||||||||||||
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| Phone | +1 256-631-6303 |
| Fax | 2566900992 |
Authorized person
| Name | RHONDA MARIE STALB |
| Role | MARRIAGE AND FAMILY THERAPIST |
| Phone | 2566316303 |
Taxonomy
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | L478 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| STALB, RHONDA M | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
