| Name: | Compass Rose Behavioral Health, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Jan 2023 (2 years ago) |
| Entity Number: | 001-055-619 |
| Register Number: | 001055619 |
| County: | Tuscaloosa |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 11460 MARION OAKS DRIVETUSCALOOSA, AL 35405 |
| Registered Office Street Address ZIP Code: | 35405 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609650555 | 2023-08-22 | 2023-08-24 | 11460 MARION OAKS DR, TUSCALOOSA, AL, 354059258, US | 11460 MARION OAKS DR, TUSCALOOSA, AL, 354059258, US | |||||||||||||
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| Phone | +1 662-425-2804 |
Authorized person
| Name | KWAJALIN BROWN |
| Role | CEO/PRINCIPAL THERAPIST |
| Phone | 2052460671 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BROWN, KWAJALIN | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
