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Lisa Philippart LPC LLC

Details

Name: Lisa Philippart LPC LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 Jun 2020 (4 years ago)
Entity Number: 000-633-901
Register Number: 000633901
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 540 Hughes Road Suite 10AMadison, AL 35758
Registered Office Street Address ZIP Code: 35758
Registered Office Mailing Address: 129 Fred Atkinson RdHuntsville, AL 35806
Registered Office Mailing Address ZIP Code: 35806

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790301505 2020-06-18 2020-06-18 540 HUGHES RD STE 10A, MADISON, AL, 357588936, US 540 HUGHES RD STE 10A, MADISON, AL, 357588936, US

Contacts

Phone +1 256-631-7898
Fax 2565423366

Authorized person

Name LISA LYNN PHILIPPART
Role OWNER
Phone 2563260909

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary Yes

Agent

Name Role
Philippart, Lisa L Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State