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Persimmon Therapy and Wellness, LLC

Details

Name: Persimmon Therapy and Wellness, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Jun 2021 (3 years ago) (Companies founded in June 2021)
Entity Number: 000-869-377
Register Number: 000869377
Place of Formation: Alabama
Registered Office Street Address: 1257 Buckhead CirVestavia Hills, AL 35216-3878

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932832318 2022-07-05 2022-07-05 500 OFFICE PARK DR STE 200, MOUNTAIN BRK, AL, 352232441, US 500 OFFICE PARK DR STE 200, MOUNTAIN BRK, AL, 352232441, US

Contacts

Phone +1 205-617-5612

Authorized person

Name MR. ROY MARTIN
Role THERAPIST
Phone 2056175612

Taxonomy

Taxonomy Code 106H00000X - Marriage & Family Therapist
Is Primary Yes

Agent

Name Role
Martin, Roy T Agent

Organizer

Name Role Address
Martin, Roy Organizer 1257 Buckhead CirVestavia, AL 35216

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State