| Name: | Willow-Grace Wellness Center LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 14 Sep 2018 (6 years ago) |
| Entity Number: | 000-529-669 |
| Register Number: | 000529669 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 320 PAT AVENUEBIRMINGHAM, AL 35215 |
| Registered Office Street Address ZIP Code: | 35215 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467020891 | 2021-06-13 | 2021-06-13 | 2028 KENTUCKY AVE STE 101&103, VESTAVIA HILLS, AL, 352161946, US | 2028 KENTUCKY AVE STE 101&103, VESTAVIA HILLS, AL, 352161946, US | |||||||||||||
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| Phone | +1 205-613-0764 |
Authorized person
| Name | MRS. TANGIE MARTIN MACON |
| Role | THERAPITST |
| Phone | 2056130764 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PRUITT, VALENCIA | Agent |
| Name | Role | Address |
|---|---|---|
| STAHLIN, SHANNON | Organizer | 315 W HURON ST #240ANN ARBOR, MI 48103 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
