| Name: | Jennifer Jo Taylor LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 29 Aug 2019 (5 years ago) |
| Date of dissolution: | 06 Jun 2024 |
| Entity Number: | 000-588-044 |
| Register Number: | 000588044 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 200 RUSSELL STREETHUNTSVILLE,, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Registered Office Mailing Address: | 200 RUSSELL STRETTHUNTSVILLE, AL 35801 |
| Registered Office Mailing Address ZIP Code: | 35801 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578104725 | 2019-09-30 | 2019-09-30 | 192 MINNIE BROWN RD, ARDMORE, TN, 384493040, US | 200 RUSSELL ST NE, HUNTSVILLE, AL, 358013602, US | |||||||||||||||||
|
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| Phone | +1 256-651-2413 |
Authorized person
| Name | JENNIFER JO TAYLOR |
| Role | LPC |
| Phone | 2566512413 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1003175100 |
| Name | Role |
|---|---|
| TAYLOR, JENNIFER J MS | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
