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Spectrum Mental Wellness LLC

Details

Name: Spectrum Mental Wellness LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 01 Apr 2018 (7 years ago)
Entity Number: 000-645-490
Register Number: 000645490
County: Madison
Place of Formation: Florida
Principal Address: 201 Bob Wallace Ave SWHuntsville, AL 35801
Principal Address ZIP Code: 35801
Registered Office Street Address: 4800 Whitesport Circle Southwest #2nHuntsville, AL 35801
Registered Office Street Address ZIP Code: 35801
Registered Office Mailing Address: 117 Lynnwood CirDecatur, AL 35603
Registered Office Mailing Address ZIP Code: 35603

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093321994 2020-09-17 2022-02-10 201 BOB WALLACE AVE SW, HUNTSVILLE, AL, 358013810, US 201 BOB WALLACE AVE SW, HUNTSVILLE, AL, 358013810, US

Contacts

Phone +1 256-642-7400
Fax 2566427600

Authorized person

Name DR. KERI ANNE BRESSETTE
Role LICENSED PSYCHOLOGIST
Phone 2564666385

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role
Bressette, Keri Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State