| Name: | Intervention Services of Southeast Alabama, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 Nov 2021 (3 years ago) (Companies founded in November 2021) |
| Entity Number: | 000-952-397 |
| Register Number: | 000952397 |
| ZIP code: | 36330 (Companies in Coffee, 36330) |
| County: | Coffee |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 108 Crest Hill DriveEnterprise, AL 36330 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285340406 | 2023-01-31 | 2023-01-31 | 108 CREST HILL DR, ENTERPRISE, AL, 363304474, US | 557 GLOVER AVE, ENTERPRISE, AL, 363302024, US | |||||||||||||||
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| Phone | +1 334-406-0816 |
| Phone | +1 334-308-2292 |
Authorized person
| Name | MRS. JESSYCA RENAE COLEMAN |
| Role | THERAPIST |
| Phone | 3344060816 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Coleman, Jessyca | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
