| Name: | Wholistictelehealth LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Jun 2020 (4 years ago) |
| Entity Number: | 001-020-450 |
| Register Number: | 001020450 |
| County: | Mobile |
| Place of Formation: | Arizona |
| Principal Address: | 7272 Theodore Dawes Rd, Suite BTheodore, AL 36582 |
| Principal Address ZIP Code: | 36582 |
| Registered Office Street Address: | 7272 Theodore Dawes Rd, Suite BThodore, AL 36582 |
| Registered Office Street Address ZIP Code: | 36582 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396325924 | 2021-04-08 | 2021-04-26 | 7272 THEODORE DAWES RD STE B, THEODORE, AL, 365824136, US | 7272 THEODORE DAWES RD STE B, THEODORE, AL, 365824136, US | |||||||||||||||
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| Phone | +1 251-607-6653 |
| Fax | 2516076656 |
Authorized person
| Name | MRS. SUSAN MARIE GILLISPIE |
| Role | PROVIDER |
| Phone | 2516076653 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Gillispie, William J | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
