| Name: | Ellie Mental Health - North Central Alabama, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Dec 2022 (2 years ago) (Companies founded in December 2022) |
| Entity Number: | 001-054-214 |
| Register Number: | 001054214 |
| ZIP code: | 35213 (Companies in Jefferson, 35213) |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 4420 Corinth DriveBirmingham, AL 35213 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922793314 | 2023-04-10 | 2023-04-10 | 4420 CORINTH DR, MOUNTAIN BRK, AL, 352131816, US | 4420 CORINTH DR, MOUNTAIN BRK, AL, 352131816, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 205-613-3429 |
Authorized person
| Name | DAVIS SLATE MANGE |
| Role | OWNER |
| Phone | 2056133429 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Mange, Davis S | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
