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Kaleidoscope Therapy, LLC

Details

Name: Kaleidoscope Therapy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Jun 2022 (2 years ago)
Entity Number: 001-023-929
Register Number: 001023929
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 113 Longwood Dr. SW Suite CHuntsville, AL 35801
Registered Office Street Address ZIP Code: 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356067631 2022-10-18 2022-10-18 113 LONGWOOD DR SW STE C, HUNTSVILLE, AL, 358014511, US 113 LONGWOOD DR SW STE C, HUNTSVILLE, AL, 358014511, US

Contacts

Phone +1 256-886-9443

Authorized person

Name STEPHANIE HASE
Role OWNER
Phone 2568869443

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role
Hase, Stephanie Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State