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BHG LXIX, LLC

Details

Name: BHG LXIX, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 25 Jul 2019 (5 years ago)
Entity Number: 000-644-014
Register Number: 000644014
County: Montgomery
Place of Formation: Delaware
Principal Address: 5001 Spring Valley Road, Suite 600EDallas, TX 75244
Registered Office Street Address: 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467071928 2020-04-14 2020-09-24 5001 SPRING VALLEY RD STE 600E, DALLAS, TX, 752448217, US 4040 INDEPENDENCE DR NW, HUNTSVILLE, AL, 358163012, US

Contacts

Phone +1 214-365-6100
Fax 2143656150
Phone +1 256-721-1940
Fax 2567211934

Authorized person

Name MRS. JEMECE GASAWAY
Role DIRECTOR OF LICENSING
Phone 2143656126

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary No
Taxonomy Code 261QM2800X - Methadone Clinic
Is Primary No
Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary Yes

Agent

Name Role
Registered Agent Solutions Inc. Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State