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Essential Embrace Healing, LLC

Details

Name: Essential Embrace Healing, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Nov 2021 (3 years ago) (Companies founded in November 2021)
Entity Number: 000-953-814
Register Number: 000953814
ZIP code: 35212 (Companies in Jefferson, 35212)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 6714 Interlaken AvenueBirmingham, AL 35212

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548905086 2022-04-29 2023-11-08 529 HUFFMAN RD, BIRMINGHAM, AL, 352158314, US 1025 23RD ST S STE 379, BIRMINGHAM, AL, 352052499, US

Contacts

Phone +1 205-693-8309
Fax 2052137001

Authorized person

Name MRS. JACQUELINE SANDERS
Role MANAGER
Phone 5026302036

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Other Provider Identifiers

Issuer TAXONOMY
Number 1041C0700X
State AL

Agent

Name Role Address
Jones, Erika N Agent 6714 Interlaken AvenueBirmingham, AL 35212

Organizer

Name Role Address
Jones, Erika N Organizer 6714 Interlaken AvenueBirmingham, AL 35212
Reevey, Erica G Organizer 6714 Interlaken AvenueBirmingham, AL 35212

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State