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Flourish Wellness Center LLC

Details

Name: Flourish Wellness Center LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Nov 2020 (4 years ago)
Entity Number: 000-824-409
Register Number: 000824409
County: Jefferson
Place of Formation: Shelby County
Registered Office Street Address: 3100 LORNA RD SUITE 211HOOVER, AL 35216
Registered Office Street Address ZIP Code: 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134717507 2021-01-01 2021-02-16 3100 LORNA RD STE 211, VESTAVIA HILLS, AL, 352165451, US 3100 LORNA RD STE 211, VESTAVIA HILLS, AL, 352165451, US

Contacts

Phone +1 205-983-4450
Fax 2054497782

Authorized person

Name MRS. ASHLEY HARRIS UNDERWOOD
Role PROVIDER/ OWNER
Phone 2059834450

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 103TC1900X - Counseling Psychologist
Is Primary No
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes
Taxonomy Code 106H00000X - Marriage & Family Therapist
Is Primary No
Taxonomy Code 2080C0008X - Child Abuse Pediatrics Physician
Is Primary No

Agent

Name Role
UNDERWOOD, ASHLEY HARRIS Agent

Organizer

Name Role Address
LEGALZOOM.COM INC Organizer 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State