| Name: | S.I.S Mental Health Services LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Jun 2023 (a year ago) (Companies founded in June 2023) |
| Entity Number: | 001-086-187 |
| Register Number: | 001086187 |
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Alabama |
| Principal Address: | 212 W TROY ST STE BDOTHAN, AL 36303 |
| Registered Office Street Address: | 212 W. Troy St. STE BDothan, AL 36303 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316722333 | 2023-08-28 | 2023-08-28 | 445 DEXTER AVE STE 4050, MONTGOMERY, AL, 361043867, US | 445 DEXTER AVE STE 4050, MONTGOMERY, AL, 361043867, US | |||||||||||||
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| Phone | +1 334-421-0692 |
Authorized person
| Name | MR. SHAWN HOWARD |
| Role | CRNP |
| Phone | 3344210692 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Jones, Robin | Organizer | 212 W. Troy St. STE BDothan, AL 36303 |
| Name | Role | Address |
|---|---|---|
| Registered Agents Inc | Agent | 212 W. Troy St. STE BDothan, AL 36303 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
