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Mission Behavioral Health, LLC

Details

Name: Mission Behavioral Health, LLC
Jurisdiction: Alabama
Legal type: Domestic Series Limited Liability Company
Status: Exists
Date of registration: 01 Mar 2021 (4 years ago)
Entity Number: 000-837-941
Register Number: 000837941
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 7108 Pale Dawn PlaceOwens Cross Roads, AL 35763
Registered Office Street Address ZIP Code: 35763

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235724238 2021-03-02 2021-03-02 3479 COUNTY ROAD 94, FLORENCE, AL, 356344845, US 3479 COUNTY ROAD 94, FLORENCE, AL, 356344845, US

Contacts

Phone +1 256-698-0135

Authorized person

Name MRS. KIMBERLY SPIKES JOHNSON
Role SVP
Phone 2566980135

Taxonomy

Taxonomy Code 3104A0630X - Assisted Living Facility (Behavioral Disturbances)
Is Primary Yes

Agent

Name Role Address
Johnson, Kimberly Agent 16310 Trestle St SEHuntsville, AL 35803

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State