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Ansley Beverly, LLC

Details

Name: Ansley Beverly, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 May 2022 (3 years ago)
Entity Number: 001-017-560
Register Number: 001017560
County: Baldwin
Place of Formation: Alabama
Registered Office Street Address: 27625 US Highway 98 #ADaphne, AL 36526
Registered Office Street Address ZIP Code: 36526

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548954563 2023-06-05 2023-06-05 9143 HARVEST RDG, FAIRHOPE, AL, 365327637, US 9143 HARVEST RDG, FAIRHOPE, AL, 365327637, US

Contacts

Phone +1 251-308-0100

Authorized person

Name MRS. ANSLEY HANSON BEVERLY
Role CLINICAL SOCIAL WORKER
Phone 2513080100

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role
Beverly, Ansley H Agent

Organizer

Name Role Address
Ansley Beverly, LLC Organizer 27625 US Highway 98, #ADaphne, AL 36526

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State