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Houston Treatment Center, LLC

Details

Name: Houston Treatment Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 07 Nov 2000 (24 years ago)
Date of dissolution: 01 Feb 2022
Entity Number: 000-672-591
Register Number: 000672591
County: Calhoun
Place of Formation: Calhoun County
Principal Address: OXFORD, AL
Registered Office Street Address: 118 EAST CHOCCOLOCCO STOXFORD, AL 36203
Registered Office Street Address ZIP Code: 36203

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972691293 2006-10-11 2020-08-22 9283 W US 84, NEWTON, AL, 363528207, US 9283 W US 84, NEWTON, AL, 363528207, US

Contacts

Phone +1 334-692-4455
Fax 3346924457

Authorized person

Name MRS. EARLENE STARLING
Role BUSINESS MANAGER
Phone 2568314601

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS PROVIDER NUMBE
Number 51518266
State AL

Agent

Name Role
BORN, HENRY MICHAEL Agent

Member

Name Role
BORN, HENRY MICHAEL Member
STARLING, EARLENE A Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State