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