| Name: | MENTAL HAVEN LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 14 Dec 2022 (2 years ago) |
| Entity Number: | 001-053-318 |
| Register Number: | 001053318 |
| County: | Montgomery |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 3066 ZELDA ROAD PMB 234MONTGOMERY, AL 36106 |
| Registered Office Street Address ZIP Code: | 36106 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124760624 | 2022-04-13 | 2023-10-10 | 3066 ZELDA RD, MONTGOMERY, AL, 361062651, US | 3630 S PERRY ST, MONTGOMERY, AL, 361052203, US | |||||||||||||||||
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| Phone | +1 313-300-0567 |
| Fax | 3348888599 |
| Phone | +1 334-625-0779 |
Authorized person
| Name | DANEL WHITEHEAD |
| Role | OWNER/CLINICAL DIRECTOR |
| Phone | 3133000567 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WHITEHEAD, DANEL D | Agent | 3066 ZELDA ROAD PMB 234MONTGOMERY, AL 36106 |
| Name | Role | Address |
|---|---|---|
| DANEL WHITEHEAD | Member | 3066 ZELDA ROAD PMB 234MONTGOMERY, AL 36106 |
| LINDA TURNER | Member | 3066 ZELDA ROAD PMB 234MONTGOMERY, AL 36106 |
| Name | Role | Address |
|---|---|---|
| WHITEHEAD, DANEL D | Organizer | 3066 ZELDA ROAD PMB 234MONTGOMERY, AL 36106 |
| TURNER, LINDA | Organizer | 3066 ZELDA ROAD PMB 234MONTGOMERY, AL 36106 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
