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Holistic Behavioral Healthcare LLC

Details

Name: Holistic Behavioral Healthcare LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Jul 2021 (3 years ago) (Companies founded in July 2021)
Entity Number: 000-874-774
Register Number: 000874774
ZIP code: 36064 (Companies in Montgomery, 36064)
County: Montgomery
Place of Formation: Alabama
Registered Office Street Address: 930 Bon Terre Blvd, Pike Road AL, 36064Pike Road, AL 36064

National Provider Identifier

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

Contacts

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

Agent

Name Role
Djuidje, Carine L Agent

Member

Name Role
EMMANUEL TADJUIDJE Member

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State