| Name: | Represent Wellness, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Mar 2021 (4 years ago) |
| Entity Number: | 000-842-572 |
| Register Number: | 000842572 |
| County: | Tuscaloosa |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 3920 Watermelon Rd, Apt BNorthport, AL 35473 |
| Registered Office Street Address ZIP Code: | 35473 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881271211 | 2021-03-24 | 2021-04-15 | 3920 WATERMELON RD APT B, NORTHPORT, AL, 354735183, US | 611 28TH AVE, TUSCALOOSA, AL, 354011715, US | |||||||||||||||
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| Phone | +1 205-861-4144 |
| Phone | +1 205-409-8248 |
Authorized person
| Name | MELANIE SHARONDA BRUNNER |
| Role | OWNER/LEAD THERAPIST |
| Phone | 2058614144 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Brunner, Melanie S | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
