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Healed and Whole Therapy, LLC

Details

Name: Healed and Whole Therapy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Feb 2023 (2 years ago) (Companies founded in February 2023)
Entity Number: 001-064-476
Register Number: 001064476
ZIP code: 35223 (Companies in Jefferson, 35223)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 6 Office Park Circle Suite 304Mountain Brook, AL 35223
Registered Office Mailing Address: 335 Edgeview AveTrussville, AL 35173

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235830878 2023-03-10 2023-03-10 335 EDGEVIEW AVE, TRUSSVILLE, AL, 351731224, US 6 OFFICE PARK CIR STE 304, MOUNTAIN BRK, AL, 352232786, US

Contacts

Phone +1 256-504-5921
Phone +1 205-883-9736

Authorized person

Name MIRANDA LYNNZEY CASEY
Role THERAPIST
Phone 2565045921

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role
Casey, Miranda L Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State