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Rachel Tieslau LLC

Details

Name: Rachel Tieslau LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 29 Dec 2022 (2 years ago)
Entity Number: 001-055-018
Register Number: 001055018
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 2327 PANSY STREET SW, SUITE CHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871336438 2024-06-13 2024-06-13 PO BOX 927, HUNTSVILLE, AL, 358040927, US 2327 PANSY ST SW STE C, HUNTSVILLE, AL, 358013804, US

Contacts

Phone +1 256-299-3759

Authorized person

Name MRS. RACHEL TIESLAU
Role OWNER
Phone 2566539905

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Organizer

Name Role Address
Tieslau, Rachel Organizer 2327 Pansy Street SWHuntsville, AL 35801

Agent

Name Role
RACHEL TIESLAU Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State