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Restorative Wellness LLC

Details

Name: Restorative Wellness LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 08 Dec 2022 (2 years ago)
Entity Number: 001-052-532
Register Number: 001052532
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 113 Durham DriveMadison, AL 35758
Registered Office Street Address ZIP Code: 35758

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881443752 2024-05-14 2024-05-14 113 DURHAM DR, MADISON, AL, 357586823, US 113 DURHAM DR, MADISON, AL, 357586823, US

Contacts

Phone +1 256-683-8714

Authorized person

Name DAWN RAYBURN
Role CEO
Phone 2566838714

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
Rayburn, Dawn Agent 113 Durham DriveMadison, AL 35758

Organizer

Name Role Address
Rayburn, Dawn Organizer 113 Durham DriveMadison, AL 35758

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State