| Name: | LifeCare Wellness, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Jun 2020 (4 years ago) |
| Entity Number: | 000-635-692 |
| Register Number: | 000635692 |
| Historical Names: |
LifeCare Wellness, LLP
|
| County: | Tuscaloosa |
| Place of Formation: | Alabama |
| Principal Address: | 653 Helen Keller BoulevardTuscaloosa, AL 35404 |
| Principal Address ZIP Code: | 35404 |
| Principal Mailing Address: | 216 2nd St SWGordo, AL 35466 |
| Principal Mailing Address ZIP Code: | 35466 |
Activities
Formation of New Business
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073130894 | 2020-06-27 | 2020-06-27 | 216 2ND ST SW, GORDO, AL, 354662221, US | 653 HELEN KELLER BLVD, TUSCALOOSA, AL, 354042983, US | |||||||||||||||||||||||
|
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| Phone | +1 205-331-3836 |
| Fax | 2052935516 |
| Fax | 2052935515 |
Authorized person
| Name | COURTNEY BROOKE WILLIAMSON |
| Role | PRACTICE MANAGER |
| Phone | 2053313836 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1124305081 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| Williamson, Courtney | Agent | 216 2ND ST SWGORDO, AL 35466 |
| Name | Role | Address |
|---|---|---|
| Williamson, Courtney | Organizer | 216 2ND ST SWGORDO, AL 35466 |
| NIPPERT, MELISSA | Organizer | 553 SHELBY CIRCLETUSCALOOSA, AL 35405 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2020-12-01 | Name Change | LifeCare Wellness, LLP | LifeCare Wellness, LLC |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
