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Enliven Therapy LLC

Details

Name: Enliven Therapy LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Sep 2022 (2 years ago)
Entity Number: 001-039-940
Register Number: 001039940
County: Covington
Place of Formation: Alabama
Registered Office Street Address: 190 Roll Tide LnWing, AL 36483
Registered Office Street Address ZIP Code: 36483

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013630284 2022-09-22 2023-12-11 701 FORREST AVE, EAST BREWTON, AL, 364262520, US 701 FORREST AVE, EAST BREWTON, AL, 364262520, US

Contacts

Phone +1 251-286-0707

Authorized person

Name WHITNEY JERKINS
Role OWNER/THERAPIST
Phone 2512385402

Taxonomy

Taxonomy Code 101Y00000X - Counselor
Is Primary Yes

Agent

Name Role
Jerkins, Whitney Agent

Organizer

Name Role Address
Becerra, Sonia Organizer 3 Greenway Plaza #1320Houston, TX 77046

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State