| Name: | Institute for Substance Use Disorders, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 17 May 2019 (6 years ago) (Companies founded in May 2019) |
| Date of dissolution: | 15 May 2024 |
| Entity Number: | 000-575-658 |
| Register Number: | 000575658 |
| ZIP code: | 35802 (Companies in Madison, 35802) |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 4525 COLEWOOD CIRCLE SEHUNTSVILLE, AL 35802 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588282958 | 2020-07-11 | 2020-07-11 | 291 VALLEY CRUISE LN, ARAB, AL, 350169402, US | 291 VALLEY CRUISE LN, ARAB, AL, 350169402, US | |||||||||||||||||||||||||
|
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| Phone | +1 256-658-0666 |
Authorized person
| Name | DR. NANCY TARBOX WHITE |
| Role | EXECUTIVE DIRECTOR |
| Phone | 2566580666 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 163WA0400X - Addiction (Substance Use Disorder) Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 207QA0401X - Addiction Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WHITE, ANDREW | Agent | 4525 COLEWOOD CIRCLE SEHUNTSVILLE, AL 35802 |
| Name | Role | Address |
|---|---|---|
| WHITE, ANDREW | Organizer | 4525 COLEWOOD CIRCLE SEHUNTSVILLE, AL 35802 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
