Name: | VantagePoint Behavioral Health, LLC. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Limited Liability Company |
Status: | Exists |
Date of registration: | 15 Mar 2019 (6 years ago) |
Entity Number: | 000-547-254 |
Register Number: | 000547254 |
County: | Madison |
Place of Formation: | Madison County |
Registered Office Street Address: | 6100 STRATFORD COURT NWHUNTSVILLE, AL 35806 |
Registered Office Street Address ZIP Code: | 35806 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1700348422 | 2019-04-02 | 2019-09-17 | 6100 STRATFORD CT NW, HUNTSVILLE, AL, 358061947, US | 800 ARCADIA DR NW STE C, HUNTSVILLE, AL, 358015910, US | |||||||||||||||||||||||
|
Phone | +1 256-417-5561 |
Fax | 2569372555 |
Phone | +1 256-937-2525 |
Authorized person
Name | TRAVIS L. DAVIS |
Role | CEO |
Phone | 2564175561 |
Taxonomy
Taxonomy Code | 101Y00000X - Counselor |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 233352 |
State | AL |
Name | Role |
---|---|
DAVIS, TRAVIS L | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State