Name: | Remedy Behavioral Health, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Limited Liability Company |
Status: | Exists |
Date of registration: | 25 Jun 2020 (4 years ago) |
Entity Number: | 000-636-546 |
Register Number: | 000636546 |
County: | Lauderdale |
Place of Formation: | Colbert County |
Registered Office Street Address: | 1609 MOCKINGBIRD COURT, SUITE BFLORENCE, AL 35630 |
Registered Office Street Address ZIP Code: | 35630 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1013517317 | 2020-10-27 | 2022-08-30 | 1609 MOCKINGBIRD CT STE B, FLORENCE, AL, 356307511, US | 1609 MOCKINGBIRD CT STE B, FLORENCE, AL, 356307511, US | |||||||||||||||||||||||||||||
|
Phone | +1 256-320-7781 |
Fax | 2563207776 |
Phone | +1 256-320-7778 |
Authorized person
Name | SHAWN NAKIA SEAL |
Role | OWNER |
Phone | 2566275300 |
Taxonomy
Taxonomy Code | 104100000X - Social Worker |
Is Primary | No |
Taxonomy Code | 2084P0800X - Psychiatry Physician |
Is Primary | Yes |
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
Is Primary | No |
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | No |
Name | Role |
---|---|
ALLISON, RUTHANN | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State