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Ivy Leaf Health & Wellness, LLC

Details

Name: Ivy Leaf Health & Wellness, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 04 Sep 2019 (5 years ago) (Companies founded in September 2019)
Entity Number: 000-586-608
Register Number: 000586608
ZIP code: 35244 (Companies in Jefferson, 35244)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 5585 PARK SIDE CIRCLEHOOVER, AL 35244

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598384265 2020-04-13 2020-04-13 5585 PARK SIDE CIR, HOOVER, AL, 352445124, US 5585 PARK SIDE CIR, HOOVER, AL, 352445124, US

Contacts

Phone +1 334-303-8960
Fax 7272029651

Authorized person

Name DR. WHITNEE BROWN
Role NURSE PRACTITIONER
Phone 3343038960

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role
BROWN, WHITNEE C Agent

Organizer

Name Role Address
BROWN, WHITNEE C. Organizer 5585 PARK SIDE CIRCLEHOOVER, AL 35244

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State