| Name: | The Little House of Wellness, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Jun 2022 (2 years ago) |
| Entity Number: | 001-027-239 |
| Register Number: | 001027239 |
| County: | Autauga |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 1025 S. Memorial DrPrattville, AL 36067 |
| Registered Office Street Address ZIP Code: | 36067 |
| Registered Office Mailing Address: | 1147 Honeysuckle DrPrattville, AL 36067 |
| Registered Office Mailing Address ZIP Code: | 36067 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225746530 | 2022-11-07 | 2022-11-07 | 1025 S MEMORIAL DR, PRATTVILLE, AL, 360676221, US | 1025 S MEMORIAL DR, PRATTVILLE, AL, 360676221, US | |||||||||||||||||||||
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| Phone | +1 334-380-3443 |
| Fax | 2055369121 |
Authorized person
| Name | TONI MARIE NORRIS |
| Role | ASSOCIATED LICENSED COUNSELOR |
| Phone | 3343803443 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 264868 |
| State | AL |
| Name | Role |
|---|---|
| Norris, Toni M | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
