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Optum Behavioral Care of Virginia, Inc.

Details

Name: Optum Behavioral Care of Virginia, Inc.
Jurisdiction: Alabama
Legal type: Foreign Corporation
Status: Exists
Date of registration: 13 Jul 2023 (a year ago)
Entity Number: 001-089-375
Register Number: 001089375
County: Montgomery
Place of Formation: Virginia
Registered Office Street Address: 2 North Jackson Street, Suite 605Montgomery, AL 36104
Registered Office Street Address ZIP Code: 36104
Principal Address: 11000 Optum CircleEden Prairie, MN 55344

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851164271 2023-11-07 2024-06-26 11000 OPTUM CIR, EDEN PRAIRIE, MN, 553442503, US 1110 MONTLIMAR DR STE 500, MOBILE, AL, 366091794, US

Contacts

Phone +1 603-854-2929
Phone +1 251-662-9466
Fax 8334495269

Authorized person

Name KERRY BISCORNET
Role SECRETARY
Phone 2563252388

Taxonomy

Taxonomy Code 103TC1900X - Counseling Psychologist
Is Primary Yes

Agent

Name Role
C T Corporation System Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State