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Kolbe Clinic B, LLC

Details

Name: Kolbe Clinic B, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 05 Mar 2021 (4 years ago) (Companies founded in March 2021)
Entity Number: 000-838-882
Register Number: 000838882
ZIP code: 35210 (Companies in Jefferson, 35210)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 1830 Montclair Road, Suite ABirmingham, AL 35210

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396330809 2021-03-05 2021-03-05 1830 MONTCLAIR RD STE A, IRONDALE, AL, 352102645, US 109 FOOTHILLS PKWY STE 113, CHELSEA, AL, 350438236, US

Contacts

Phone +1 205-775-0300
Fax 2056189706
Phone +1 205-618-9899

Authorized person

Name MR. WILLIAM CARL WAINSCOTT II
Role CEO
Phone 2057750300

Taxonomy

Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary No
Taxonomy Code 207QA0401X - Addiction Medicine (Family Medicine) Physician
Is Primary No
Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary No
Taxonomy Code 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician
Is Primary No
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role
Wainscott, William C II Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State