| Name: | Vision Behavioral Health Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Feb 2024 (9 months ago) |
| Entity Number: | 001-120-646 |
| Register Number: | 001120646 |
| County: | De Kalb |
| Place of Formation: | Alabama |
| Principal Mailing Address: | PO Box 711Madison, AL 35758 |
| Principal Mailing Address ZIP Code: | 35758 |
| Registered Office Street Address: | 409 A Main St ERainsville, AL 35986 |
| Registered Office Street Address ZIP Code: | 35986 |
| Registered Office Mailing Address: | PO Box 2043Rainsville, AL 35986 |
| Registered Office Mailing Address ZIP Code: | 35986 |
| Principal Address: | 207 Gault Avenue SouthSte BFort Payne, AL 35967 |
| Principal Address ZIP Code: | 35967 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326802166 | 2024-02-12 | 2024-03-05 | PO BOX 711, MADISON, AL, 357580711, US | 207 GAULT AVE S STE B, FORT PAYNE, AL, 359671902, US | |||||||||||||||||||||
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| Phone | +1 601-918-4866 |
Authorized person
| Name | NAKEETSHA DRYER |
| Role | OWNER |
| Phone | 1601918486 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| Washington, Otis | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
