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New Leaf Child and Family Therapy LLC

Details

Name: New Leaf Child and Family Therapy LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Dissolved
Date of registration: 19 Apr 2018 (7 years ago)
Date of dissolution: 21 May 2021
Entity Number: 000-516-327
Register Number: 000516327
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 2805 7TH STTUSCALOOSA, AL 35401
Registered Office Street Address ZIP Code: 35401

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194293712 2018-11-13 2020-02-22 2825 7TH ST, TUSCALOOSA, AL, 354011807, US 2825 7TH ST, TUSCALOOSA, AL, 354011807, US

Contacts

Phone +1 205-718-0538

Authorized person

Name MS. DANIELLE RUSSO
Role OWNER
Phone 2057180538

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role
RUSSO, DANIELLE Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State