| Name: | Agape Individual and Family Therapy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Apr 2018 (7 years ago) |
| Entity Number: | 000-516-335 |
| Register Number: | 000516335 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 2805 7TH STREETTUSCALOOSA, AL 35401 |
| Registered Office Street Address ZIP Code: | 35401 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801487640 | 2021-02-02 | 2021-02-02 | 2825 7TH ST, TUSCALOOSA, AL, 354011807, US | 2825 7TH ST, TUSCALOOSA, AL, 354011807, US | |||||||||||||
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| Phone | +1 205-523-5590 |
Authorized person
| Name | GREER K FAWLEY |
| Role | OWNER |
| Phone | 2055235590 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FAWLEY, GREER | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
