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Magnolia Therapy Services, LLC

Details

Name: Magnolia Therapy Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Oct 2020 (4 years ago)
Entity Number: 000-785-478
Register Number: 000785478
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 201 E 2ND STREETBAY MINETTE, AL 36507
Registered Office Street Address ZIP Code: 36507

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598412637 2022-03-08 2023-01-30 205 N CONCEPTION ST, MOBILE, AL, 366036477, US 205 N CONCEPTION ST, MOBILE, AL, 366036477, US

Contacts

Phone +1 251-320-5875
Fax 2514590065

Authorized person

Name LAURA O GALE
Role OWNER/PRESIDENT
Phone 2516053985

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role
GALE, JEFFRY N Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State