Search icon

Well Space Therapy, LLC

Details

Name: Well Space Therapy, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 17 Feb 2023 (2 years ago)
Entity Number: 001-074-541
Register Number: 001074541
County: Jefferson
Place of Formation: Georgia
Principal Address: 300 colonial parkway Suite 100NAtlanta, GA 30076
Registered Office Street Address: 120 19th Street NorthBirmingham, AL 35203
Registered Office Street Address ZIP Code: 35203
Registered Office Mailing Address: 120 19th Street North, Suite 265Birmingham, AL 35203
Registered Office Mailing Address ZIP Code: 35203

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770286155 2023-03-23 2023-07-03 318 N COLLEGE ST STE E, AUBURN, AL, 368303815, US 318 N COLLEGE ST STE E, AUBURN, AL, 368303815, US

Contacts

Phone +1 205-546-8265

Authorized person

Name CHAUNCEY HUDSON
Role PSYCHOTHERAPIST AND OWNER
Phone 2055468265

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary Yes

Agent

Name Role
Hudson, Chauncey Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State