| Name: | FAMILY ALLIANCE NETWORK LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 07 Jun 2017 (7 years ago) |
| Entity Number: | 001-041-015 |
| Register Number: | 001041015 |
| Place of Formation: | Texas |
| Principal Address: | 348 BRIDLEBROOK BLVD.PIKE ROAD, AL 36064-2775 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831813351 | 2022-09-28 | 2022-09-28 | 348 BRIDLEBROOK BLVD, PIKE ROAD, AL, 360642775, US | 348 BRIDLEBROOK BLVD, PIKE ROAD, AL, 360642775, US | |||||||||||||||||||||||||||||
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| Phone | +1 334-375-9501 |
Authorized person
| Name | SABRINA A MACK |
| Role | CEO |
| Phone | 7047563991 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| Davis, Tyrome N | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
