| Name: | Kerri Malone, LICSW, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 Aug 2023 (a year ago) (Companies founded in August 2023) |
| Entity Number: | 001-096-438 |
| Register Number: | 001096438 |
| ZIP code: | 35216 (Companies in Jefferson, 35216) |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 400 Vestavia Parkway, Ste 406Vestavia Hills, AL 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639954639 | 2023-08-28 | 2023-08-28 | 504 LAKESHORE DR, BIRMINGHAM, AL, 352096712, US | 400 VESTAVIA PKWY STE 406, VESTAVIA, AL, 352163763, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 615-498-4174 |
Authorized person
| Name | KERRICK MALONE |
| Role | CLINICAL SOCIAL WORKER |
| Phone | 6154984174 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role |
|---|---|
| malone, kerri m | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
