| Name: | Alabama Center for Individual & Family Therapy LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Feb 2020 (5 years ago) (Companies founded in February 2020) |
| Entity Number: | 000-623-454 |
| Register Number: | 000623454 |
| ZIP code: | 35750 (Companies in Madison, 35750) |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 100 CHELLE MILLLANEHAZEL GREEN, AL 35750 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346867496 | 2020-07-05 | 2020-07-05 | 100 CHELLE MILL LN, HAZEL GREEN, AL, 357505802, US | 2905 WESTCORP BLVD SW STE 213D, HUNTSVILLE, AL, 358056411, US | |||||||||||||||||||||||
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| Phone | +1 773-454-0007 |
| Phone | +1 256-581-4673 |
| Fax | 2566022115 |
Authorized person
| Name | ARIELLE NICOLE FEGGINS |
| Role | OWNER |
| Phone | 2565814673 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 248819 |
| State | AL |
| Name | Role |
|---|---|
| FEGGINS, ARIELLE N | Agent |
| Name | Role | Address |
|---|---|---|
| LEGALZOOM.COM INC. | Organizer | 101 N BRAND, 11TH FLGLENDALE, CA 91203 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
