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WellSpring Wellness, LLC

Details

Name: WellSpring Wellness, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 Jul 2023 (a year ago) (Companies founded in July 2023)
Entity Number: 001-088-694
Register Number: 001088694
ZIP code: 35242 (Companies in Shelby, 35242)
County: Shelby
Place of Formation: Alabama
Registered Office Street Address: 157 Resource Center Parkway #107Birmingham, AL 35242

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275301871 2023-12-13 2024-02-22 157 RESOURCE CENTER PKWY STE 115, BIRMINGHAM, AL, 352428135, US 157 RESOURCE CENTER PKWY STE 115, BIRMINGHAM, AL, 352428135, US

Contacts

Phone +1 205-532-0796

Authorized person

Name DONALD ANTHONY REIFF
Role MEDICAL DIRECTOR
Phone 2055320796

Taxonomy

Taxonomy Code 2086S0127X - Trauma Surgery Physician
Is Primary Yes

Agent

Name Role Address
Beckham, Randy Agent 157 Resource Center Pkwy. Suite 107Birmingham, AL 35242

Organizer

Name Role Address
Amari & Gray Organizer 2017 Morris Avenue #300Birmingham, AL 35203

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State