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Ann Marie Nowak, LPC, P.C.

Details

Name: Ann Marie Nowak, LPC, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Sep 2020 (4 years ago)
Entity Number: 000-646-776
Register Number: 000646776
County: Escambia
Place of Formation: Escambia County
Registered Office Street Address: 100 NORTH MAIN STREET SUITE HATMORE, AL 36502
Registered Office Street Address ZIP Code: 36502
Authorized Capital: 100@$1.00PV

Activities PROVIDING COUNSELING AND MENTAL HEALTH SERVICES AND TO ENGAGE IN

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104420264 2020-11-29 2020-11-29 308 ROBERTS ST, ATMORE, AL, 365022516, US 308 ROBERTS ST, ATMORE, AL, 365022516, US

Contacts

Phone +1 850-602-7890

Authorized person

Name ANN MARIE NOWAK
Role OWNER
Phone 8506027890

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
NOWAK, ANN M Agent 100 NORTH MAIN STREET SUITE HATMORE, AL 36502

Director

Name Role Address
NOWAK, ANN MARIE Director 100 NORTH MAIN STREET SUITE HATMORE, AL 36502

Incorporator

Name Role Address
NOWAK, ANN M Incorporator 100 NORTH MAIN STREET SUITE HATMORE, AL 36502

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State