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WellSpace Play Therapy LLC

Details

Name: WellSpace Play Therapy LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Aug 2023 (a year ago) (Companies founded in August 2023)
Entity Number: 001-095-785
Register Number: 001095785
ZIP code: 35773 (Companies in Madison, 35773)
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 103 Carillo LnToney, AL 35773

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790553766 2023-12-19 2023-12-19 103 CARILLO LN, TONEY, AL, 357735729, US 604 DAVIS CIR SW, HUNTSVILLE, AL, 358015014, US

Contacts

Phone +1 256-348-3297

Authorized person

Name MRS. FELICIA POWELL
Role OWNER
Phone 2563483297

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No
Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary No
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary Yes

Agent

Name Role
Powell, Felicia L Agent

Organizer

Name Role Address
Legalzoom.com, Inc. Organizer 101 N Brand Blvd., 11th FlGlendale, CA 91203

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State