| Name: | Thrive Family Chiropractic LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Aug 2022 (2 years ago) (Companies founded in August 2022) |
| Entity Number: | 001-036-178 |
| Register Number: | 001036178 |
| ZIP code: | 36117 (Companies in Montgomery, 36117) |
| County: | Montgomery |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 9174 Boyd Cooper PkwyMontgomery, AL 36117 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881304392 | 2022-11-25 | 2023-02-13 | 9174 BOYD COOPER PKWY, MONTGOMERY, AL, 361177590, US | 9174 BOYD COOPER PKWY, MONTGOMERY, AL, 361177590, US | |||||||||||||||||||||
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| Phone | +1 334-993-3030 |
| Fax | 3348868788 |
Authorized person
| Name | DR. STEPHANEE LEWIS |
| Role | DOCTOR OF CHIROPRACTIC |
| Phone | 3349933030 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1134681695 |
| State | AL |
| Name | Role |
|---|---|
| Lewis, Stephanee | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
