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Remedy Behavioral Health, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
ALLISON, RUTHANN Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State