| Name: | Autumn Stanford, PMHNP-BC, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Oct 2023 (a year ago) (Companies founded in October 2023) |
| Entity Number: | 001-104-799 |
| Register Number: | 001104799 |
| ZIP code: | 35242 (Companies in Shelby, 35242) |
| County: | Shelby |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 27 Parsons StBirmingham, AL 35242 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275304388 | 2024-01-09 | 2024-01-31 | 1001 BEAUMONT AVENUE, SUITE 102, BIRMINGHAM, AL, 35242, US | 1001 BEAUMONT AVENUE, SUITE 102, BIRMINGHAM, AL, 35242, US | |||||||||||||
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| Phone | +1 615-295-1914 |
Authorized person
| Name | AUTUMN LYNN STANFORD |
| Role | OWNER |
| Phone | 6152951914 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Stanford, Autumn L | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
