| Name: | Blissful Mind Behavioral Health LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Apr 2018 (7 years ago) |
| Entity Number: | 000-514-823 |
| Register Number: | 000514823 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 207 EUSTIS AVENUE SE SUITE DHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730689738 | 2018-02-15 | 2018-02-15 | 112 PINEDA DR, HUNTSVILLE, AL, 358118088, US | 207 EUSTIS AVE SE STE D, HUNTSVILLE, AL, 358014234, US | |||||||||||||||||||||||||||
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| Phone | +1 256-655-6464 |
| Phone | +1 256-346-5505 |
Authorized person
| Name | PAMELA TIPPIT |
| Role | THERAPIST |
| Phone | 2563465505 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | 2745 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| License Number | 2745 |
| State | AL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| TIPPIT, PAMELA | Agent | 207 EUSTIS AVENUE SE SUITE DHUNTSVILLE, AL 35801 |
| Name | Role | Address |
|---|---|---|
| TIPPIT, PAMELA | Organizer | 207 EUSTIS AVENUE SE SUITE DHUNTSVILLE, AL 35801 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
