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Evolving Minds Therapy, LLC

Details

Name: Evolving Minds Therapy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 May 2022 (2 years ago) (Companies founded in May 2022)
Entity Number: 001-022-443
Register Number: 001022443
ZIP code: 36744 (Companies in Hale, 36744)
County: Hale
Place of Formation: Alabama
Registered Office Street Address: 18845 HWY 25Greensboro, AL 36744
Registered Office Mailing Address: PO Box 11Greensboro, AL 36744

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629717210 2022-06-01 2024-05-20 1130 UNIVERSITY BLVD STE B9, TUSCALOOSA, AL, 354010328, US 212 W TROY ST STE B, DOTHAN, AL, 363034455, US

Contacts

Phone +1 205-235-2899

Authorized person

Name KIMBERLY ADAMS
Role OWNER
Phone 3347152055

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
Adams, Kimberly Agent 1455 Beaumont DriveMontgomery, AL 36111

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State