| Name: | Samata Behavioral Health and Wellness Institute, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Dec 2019 (5 years ago) (Companies founded in December 2019) |
| Entity Number: | 000-594-484 |
| Register Number: | 000594484 |
| Place of Formation: | Coffee County |
| Registered Office Street Address: | 128 S MAIN STREETENTERPRISE, AL 36330-2543 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437796067 | 2019-12-02 | 2019-12-10 | 128 S MAIN ST, ENTERPRISE, AL, 363302543, US | 128 S MAIN ST, ENTERPRISE, AL, 363302543, US | |||||||||||||||
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| Phone | +1 844-472-6282 |
| Fax | 8556260476 |
Authorized person
| Name | STEPHANIE ANN KRACZKOWSKI |
| Role | OWNER |
| Phone | 3344709395 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | Yes |
| Name | Role |
|---|---|
| KRACZKOWSKI, STEPHANIE A | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
