Name: | Holistic Behavioral Healthcare LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 23 Jul 2021 (3 years ago) |
Entity Number: | 000-874-774 |
Register Number: | 000874774 |
County: | Montgomery |
Place of Formation: | Alabama |
Registered Office Street Address: | 930 Bon Terre Blvd, Pike Road AL, 36064Pike Road, AL 36064 |
Registered Office Street Address ZIP Code: | 36064 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1811677438 | 2023-07-19 | 2023-07-19 | 1721 BROAD ST, SELMA, AL, 367014116, US | 1721 BROAD ST, SELMA, AL, 367014116, US | |||||||||||||
|
Phone | +1 513-238-0267 |
Authorized person
Name | CARINE DJUIDJE |
Role | MANAGING ONWER |
Phone | 5132380267 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Name | Role |
---|---|
Djuidje, Carine L | Agent |
Name | Role |
---|---|
EMMANUEL TADJUIDJE | Member |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State