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Brain Matters Therapy LLC

Details

Name: Brain Matters Therapy LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Jan 2023 (2 years ago)
Entity Number: 001-056-304
Register Number: 001056304
County: Coffee
Place of Formation: Alabama
Registered Office Street Address: 557 Glover AveEnterprise, AL 36330
Registered Office Street Address ZIP Code: 36330

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851143069 2024-04-02 2024-04-02 557 GLOVER AVE, ENTERPRISE, AL, 363302024, US 557 GLOVER AVE, ENTERPRISE, AL, 363302024, US

Contacts

Phone +1 334-369-4944
Phone +1 334-369-9494

Authorized person

Name LEAH EVERETT
Role THERAPIST
Phone 3343699494

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role
Everett, Leah Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State