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Stillwell Mental Health LLC

Details

Name: Stillwell Mental Health LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Mar 2018 (7 years ago)
Entity Number: 000-512-924
Register Number: 000512924
County: Shelby
Place of Formation: Shelby County
Registered Office Street Address: 40165 PORTOBELLO ROADBIRMINGHAM, AL 35242
Registered Office Street Address ZIP Code: 35242

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508489428 2020-05-27 2020-05-27 5501 HIGHWAY 280 STE 302, BIRMINGHAM, AL, 352426536, US 5501 HIGHWAY 280 STE 302, BIRMINGHAM, AL, 352426536, US

Contacts

Phone +1 205-203-9111

Authorized person

Name BENJAMIN STILLWELL
Role OWNER
Phone 2052039111

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
Is Primary Yes

Agent

Name Role Address
STILLWELL, BENJAMIN Agent 40165 PORTOBELLO ROADBIRMINGHAM, AL 35242

Organizer

Name Role Address
STILLWELL, BENJAMIN Organizer 40165 PORTOBELLO ROADBIRMINGHAM, AL 35242

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State