| Name: | NEUROGENESIS LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Jan 2022 (3 years ago) (Companies founded in January 2022) |
| Entity Number: | 000-961-424 |
| Register Number: | 000961424 |
| ZIP code: | 35803 (Companies in Madison, 35803) |
| County: | Madison |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 10326 PICADILLY LANE SWHUNTSVILLE, AL 35803 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558016840 | 2022-02-16 | 2022-09-21 | 10319 PICADILLY LN SW, HUNTSVILLE, AL, 358032050, US | 1115 CHURCH ST NW STE J, HUNTSVILLE, AL, 358015980, US | |||||||||||||
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| Phone | +1 605-484-0560 |
Authorized person
| Name | DR. JUSTINE ASHOKAR |
| Role | PSYCHOLOGIST |
| Phone | 6054840560 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MITCHELL RODRIJUEZ | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
