| Name: | Enterprise Mental Health, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Sep 2020 (4 years ago) (Companies founded in September 2020) |
| Entity Number: | 000-646-621 |
| Register Number: | 000646621 |
| ZIP code: | 36330 (Companies in Coffee, 36330) |
| County: | Coffee |
| Place of Formation: | Coffee County |
| Registered Office Street Address: | 117 S. MAIN ST.ENTERPRISE, AL 36330 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275105223 | 2021-07-10 | 2021-07-10 | 117 S MAIN ST, ENTERPRISE, AL, 363302542, US | 117 S MAIN ST, ENTERPRISE, AL, 363302542, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 334-447-1717 |
Authorized person
| Name | DR. SAMANTHA MOORE BOOKER |
| Role | OWNER & COUNSELOR |
| Phone | 3344471717 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | Yes |
| Taxonomy Code | 101YS0200X - School Counselor |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1093325268 |
| State | AL |
| Issuer | NPI |
| Number | 1417474776 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CATES, KEITH | Agent | 903 W COLLEGE STENTERPRISE, AL 36330 |
| Name | Role | Address |
|---|---|---|
| Keith A. Cates | Member | 903 W. College StreetEnterprise, AL 36330 |
| Name | Role | Address |
|---|---|---|
| CATES, KEITH | Organizer | 903 W COLLEGE STENTERPRISE, AL 36330 |
| BOOKER, SAMANTHA MOORE | Organizer | 114 HALLHILL CTENTERPRISE, AL 36330 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
