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Rachel Derivaux, LLC

Details

Name: Rachel Derivaux, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Nov 2021 (3 years ago)
Entity Number: 000-952-914
Register Number: 000952914
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 2104 RODGERS DRIVE NESHUNTSVILLE, AL 35811
Registered Office Street Address ZIP Code: 35811

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316655582 2022-11-07 2022-11-07 2104 RODGERS DR NE, HUNTSVILLE, AL, 358112326, US 2104 RODGERS DR NE, HUNTSVILLE, AL, 358112326, US

Contacts

Phone +1 256-808-6119

Authorized person

Name RACHEL DERIVAUX
Role OWNER
Phone 2568086119

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
DERIVAUX, RACHEL Agent 2104 RODGERS DRIVE NESHUNTSVILLE, AL 35811

Organizer

Name Role Address
DERIVAUX, RACHEL Organizer 2104 RODGERS DRIVE NESHUNTSVILLE, AL 35811

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State