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Andy Markham LLC

Details

Name: Andy Markham LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 May 2018 (7 years ago)
Entity Number: 000-519-628
Register Number: 000519628
ZIP code: 35209
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 100 OXMOOR ROAD SUITE 110BIRMINGHAM, AL 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275026254 2018-06-13 2018-06-13 116 JEFFERSON ST S STE 205, HUNTSVILLE, AL, 358018810, US 116 JEFFERSON ST S STE 205, HUNTSVILLE, AL, 358018810, US

Contacts

Phone +1 256-919-5021

Authorized person

Name ANDERSON MARKHAM
Role OWNER
Phone 2569195021

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
License Number 3281
State AL
Is Primary No
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
License Number 3281
State AL
Is Primary Yes

Organizer

Name Role Address
LEGALZOOM.COM INC Organizer 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Agent

Name Role Address
USCA INC Agent 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State