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 |
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 | |||||||||||||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
Wainscott, William C II | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State