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Jenna Mudd, LLC

Details

Name: Jenna Mudd, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Feb 2019 (6 years ago)
Entity Number: 000-541-926
Register Number: 000541926
County: Jackson
Place of Formation: Jackson County
Registered Office Street Address: 219 SOUTH MARKET STREETSCOTTSBORO, AL 35768
Registered Office Street Address ZIP Code: 35768

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356808224 2019-02-26 2019-02-26 219 S MARKET ST, SCOTTSBORO, AL, 357681806, US 219 S MARKET ST, SCOTTSBORO, AL, 357681806, US

Contacts

Phone +1 662-341-6008
Fax 2569990729
Phone +1 256-999-0727

Authorized person

Name JENNA MUDD
Role THERAPIST
Phone 6623416008

Taxonomy

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

Agent

Name Role
MUDD, JENNA Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State