| Name: | Axia Behavioral Group, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Nov 2021 (3 years ago) (Companies founded in November 2021) |
| Entity Number: | 000-952-767 |
| Register Number: | 000952767 |
| ZIP code: | 35216 (Companies in Jefferson, 35216) |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 1909 HIGHFIELD DRIVEVESTAVIA, AL 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043955032 | 2022-05-03 | 2022-05-03 | 678 CHELSEA STATION CIR, CHELSEA, AL, 350433081, US | 3840 RIDGEWAY DR, HOMEWOOD, AL, 352095506, US | |||||||||||||
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| Phone | +1 205-913-7910 |
Authorized person
| Name | WILLIAM FORD |
| Role | MANAGING MEMBER |
| Phone | 2059137910 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Ford, William B | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
