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Stable Change Behavioral Health LLC

Details

Name: Stable Change Behavioral Health LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 25 Nov 2023 (a year ago) (Companies founded in November 2023)
Entity Number: 001-109-351
Register Number: 001109351
ZIP code: 36477 (Companies in Geneva, 36477)
County: Geneva
Place of Formation: Alabama
Registered Office Street Address: 937 County Rd 43Samsom, AL 36477

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851147482 2024-04-25 2024-04-25 937 COUNTY ROAD 43, SAMSON, AL, 364775747, US 937 COUNTY ROAD 43, SAMSON, AL, 364775747, US

Contacts

Phone +1 541-591-9712

Authorized person

Name JESSICA M KELLEY
Role OWNER/CLINICAL DIRECTOR
Phone 5415919712

Taxonomy

Taxonomy Code 106H00000X - Marriage & Family Therapist
Is Primary Yes

Agent

Name Role Address
Kelley, James P Agent 937 County Rd 43Samson, AL 36477

Organizer

Name Role Address
Kelley, James P Organizer 937 County Rd 43Samson, AL 36477
Kelley, Jessica M Organizer 937 County Rd 43Samson, AL 36477

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State