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Interwoven Therapy, LLC

Details

Name: Interwoven Therapy, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 16 Jun 2021 (3 years ago)
Entity Number: 000-868-007
Register Number: 000868007
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2208 UNIVERSITY BLVDBIRMINGHAM, AL 35233
Registered Office Street Address ZIP Code: 35233

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033984067 2023-11-20 2023-11-20 2355 TYROL PL, VESTAVIA HILLS, AL, 352164275, US 324 COMMONS DR, BIRMINGHAM, AL, 352096962, US

Contacts

Phone +1 310-227-0521
Phone +1 205-598-7767

Authorized person

Name KATHERINE R SCIACCA
Role THERAPIST
Phone 2055987767

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role
KATHERINE R SCIACCA Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State