| Name: | LifeWorks Psychiatric Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Mar 2024 (9 months ago) (Companies founded in March 2024) |
| Entity Number: | 001-124-725 |
| Register Number: | 001124725 |
| ZIP code: | 35501 (Companies in Walker, 35501) |
| County: | Walker |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 3608 Highway 78 EJASPER, AL 35501 |
| Registered Office Mailing Address: | 35 WILLOW LANEJASPER, AL 35503 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| G3U5LS5B7QQ9 | 2025-04-11 | 3608 HIGHWAY 78 E, JASPER, AL, 35501, 8909, USA | 3608 HIGHWAY 78 E, JASPER, AL, 35501, USA | |||||||||||||||||||||||||||||||||||||||||||||||
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| URL | https://lifeworks-alabama.com |
| Division Name | LIFEWORKS PSYCHIATRIC CENTER, LLC |
| Congressional District | 04 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-04-19 |
| Initial Registration Date | 2024-03-07 |
| Entity Start Date | 2024-02-08 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621420 |
| Product and Service Codes | Q519 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MIRANDA SHA HANDLEY |
| Role | OWNER |
| Address | 3608 HIGHWAY 78 E, JASPER, AL, 35501, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MIRANDA SHA HANDLEY |
| Role | OWNER |
| Address | 3608 HIGHWAY 78 E, JASPER, AL, 35501, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497510028 | 2024-02-13 | 2024-05-29 | 3608 HIGHWAY 78 E, JASPER, AL, 355018909, US | 3608 HIGHWAY 78 E, JASPER, AL, 355018909, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 205-717-6050 |
| Fax | 2058929272 |
Authorized person
| Name | MS. MIRANDA SHAE HANDLEY |
| Role | OWNER/OPERATOR |
| Phone | 2057176050 |
Taxonomy
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| HANDLEY, Miranda S | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
