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The Mental Bistro LLC

Details

Name: The Mental Bistro LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 10 May 2023 (2 years ago) (Companies founded in May 2023)
Entity Number: 001-078-722
Register Number: 001078722
ZIP code: 35585 (Companies in Franklin, 35585)
County: Franklin
Place of Formation: Alabama
Registered Office Street Address: 108 Alf King RdSpruce Pine, AL 35585

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649003716 2024-08-23 2024-08-23 6595 HIGHWAY 43 BLDG D, SPRUCE PINE, AL, 355854223, US 6595 HIGHWAY 43 BLDG D, SPRUCE PINE, AL, 355854223, US

Contacts

Phone +1 256-436-7460

Authorized person

Name ASHLEY KIMBROUGH
Role THERAPIST/OWNER
Phone 2564367460

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
Motes, Ashley K Agent 108 Alf King RdSpruce Pine, AL 35585

Organizer

Name Role Address
Motes, Ashley K Organizer 108 Alf King RdSpruce Pine, AL 35585

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State