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LEE NOWLIN, LICSW, LLC

Details

Name: LEE NOWLIN, LICSW, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Apr 2018 (7 years ago) (Companies founded in April 2018)
Entity Number: 000-514-562
Register Number: 000514562
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Madison County
Registered Office Street Address: 212 W. TROY ST. STE BDOTHAN, AL 36303

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043798689 2018-08-06 2018-08-06 1501 GAYLORD DR, MOBILE, AL, 366958943, US 6925 COTTAGE HILL RD STE E, MOBILE, AL, 366953715, US

Contacts

Phone +1 251-599-1836
Fax 2518007245

Authorized person

Name PATRICIA LEE NOWLIN
Role OWNER/CLINICIAN
Phone 1251599183

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
License Number 0904C
State AL
Is Primary Yes

Agent

Name Role Address
REGISTERED AGENTS INC Agent 212 W. TROY ST. STE BDOTHAN, AL 36303

Organizer

Name Role Address
SIHA, MARSHA Organizer 17350 STATE HWY 249, SUITE 220HOUSTON, TX 77064

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State