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Wise Mind Psychotherapy LLC

Details

Name: Wise Mind Psychotherapy LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 07 May 2023 (2 years ago) (Companies founded in May 2023)
Entity Number: 001-078-071
Register Number: 001078071
ZIP code: 35226 (Companies in Jefferson, 35226)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 309 Three Sons CTHoover, AL 35226

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750166963 2023-08-28 2023-08-28 309 THREE SONS CT # 309, HOOVER, AL, 352262953, US 309 THREE SONS CT # 309, HOOVER, AL, 352262953, US

Contacts

Phone +1 205-529-0867

Authorized person

Name JEFFREY LAMAR EILAND
Role CEO
Phone 2055290867

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role
Eiland, Jeffrey L Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State