| Name: | The Wise Center for DBT, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Dec 2019 (5 years ago) (Companies founded in December 2019) |
| Entity Number: | 000-596-579 |
| Register Number: | 000596579 |
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 229 MONTGOMERY LANEBIRMINGHAM, AL 35209 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851130132 | 2024-05-24 | 2024-05-24 | 17 OFFICE PARK CIR STE 100, MOUNTAIN BRK, AL, 352232561, US | 17 OFFICE PARK CIR STE 100, MOUNTAIN BRK, AL, 352232561, US | |||||||||||||||||||||||||
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| Phone | +1 205-747-0758 |
Authorized person
| Name | MELISSA THOMAS |
| Role | CLINICAL DIRECTOR |
| Phone | 2057470758 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | No |
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DELONG, MELISSA T | Agent |
| Name | Role | Address |
|---|---|---|
| DELONG, MELISSA THOMAS | Organizer | 4 OFFICE PARK CIRCLE STE 215ABIRMINGHAM, AL 35223 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
