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Renaissance Mind and Body, LLC

Details

Name: Renaissance Mind and Body, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 May 2023 (a year ago)
Entity Number: 001-079-332
Register Number: 001079332
County: Lauderdale
Place of Formation: Alabama
Registered Office Street Address: 327 S. Walnut St.Florence, AL 35630
Registered Office Street Address ZIP Code: 35630
Registered Office Mailing Address: 95 S Blue Heron DrKillen, AL 35645
Registered Office Mailing Address ZIP Code: 35645

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982383261 2023-07-14 2023-07-14 327 S WALNUT ST, FLORENCE, AL, 356306803, US 327 S WALNUT ST, FLORENCE, AL, 356306803, US

Contacts

Phone +1 256-272-1346

Authorized person

Name AMY MOOR
Role OWNDER
Phone 2562721346

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role
Moor, Amy and Mitchell Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State