| Name: | Full Well Neurofeedback LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 Nov 2020 (4 years ago) |
| Entity Number: | 000-821-579 |
| Register Number: | 000821579 |
| Historical Names: |
LiveFullWell LLC
|
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 5330 STADIUM TRACE PARKWAY SUITE 350HOOVER, AL 35244 |
| Principal Address ZIP Code: | 35244 |
| Registered Office Mailing Address: | 1675 LAKE CYRUS CLUB DRHOOVER, AL 35244 |
| Registered Office Mailing Address ZIP Code: | 35244 |
| Registered Office Street Address: | 1855 DATA DR #155HOOVER, AL 35244 |
| Registered Office Street Address ZIP Code: | 35244 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083297246 | 2021-05-04 | 2021-05-19 | 5330 STADIUM TRACE PKWY, HOOVER, AL, 352444525, US | 5330 STADIUM TRACE PKWY STE 310, HOOVER, AL, 352444525, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 205-490-6983 |
| Fax | 2054906984 |
Authorized person
| Name | MICHELLE ESSARY |
| Role | OWNER |
| Phone | 2054906983 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ESSARY, MICHELLE | Agent | 5330 STADIUM TRACE PARKWAY STE 310HOOVER, AL 35244 |
| Name | Role | Address |
|---|---|---|
| ESSARY, MICHELLE | Organizer | 5330 STADIUM TRACE PARKWAY STE 310HOOVER, AL 35244 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2021-01-20 | Name Change | LiveFullWell LLC | Full Well Neurofeedback LLC |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
