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Works of Wonder

Details

Name: Works of Wonder
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 23 Jun 2021 (3 years ago) (Companies founded in June 2021)
Entity Number: 000-869-325
Register Number: 000869325
ZIP code: 36106 (Companies in Montgomery, 36106)
County: Montgomery
Place of Formation: Alabama
Principal Address: 1320 Carmichael WayMontgomery, AL 36106
Registered Office Street Address: 25 Overbrook StreetPike Road, AL 36064

Activities See Attachment attached hereto.

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
D6CPA63HARK5 2023-08-30 1320 CARMICHAEL WAY, MONTGOMERY, AL, 36106, 3691, USA 1320 CARMICHAEL WAY, MONTGOMERY, AL, 36106, 3691, USA

Business Information

Congressional District 02
State/Country of Incorporation AL, USA
Activation Date 2022-09-01
Initial Registration Date 2022-08-30
Entity Start Date 2020-07-07
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name WILLIAM B. LONG
Role BUSINESS MANAGER
Address 1320 CARMICHAEL WAY, MONTGOMERY, AL, 36106, USA
Government Business
Title PRIMARY POC
Name WILLIAM B. LONG
Role BUSINESS MANAGER
Address 1320 CARMICHAEL WAY, MONTGOMERY, AL, 36106, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285282723 2019-08-28 2022-08-23 1320 CARMICHAEL WAY, MONTGOMERY, AL, 361063691, US 1320 CARMICHAEL WAY, MONTGOMERY, AL, 361063691, US

Contacts

Phone +1 334-356-4900
Fax 3342397759

Authorized person

Name DR. CLARA ELIZABETH LONG
Role EXECUTIVE DIRECTOR
Phone 3343564900

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
Is Primary No
Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS/BLUE SHIELD
Number 1205333283
State AL
Issuer TRICARE
Number 1205333283
State AL
Issuer MEDICAID
Number 1205333283
State AL

Director

Name Role Address
Long, Clara B Director 25 Overbrook StreetPike Road, AL 36064
Long, Brad Director 25 Overbrook StreetPike Road, AL 36064
Howard, Elizabeth Director 2454 Blue Springs RoadWilsonville, AL 35186

Incorporator

Name Role Address
McBride, Richard L Jr Incorporator 1784 Taliaferro Trail, Suite BMontgomery, AL 36117

Agent

Name Role Address
Long, Clara B Agent 25 Overbrook StreetPike Road, AL 36064

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State