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Genuine Therapeutic Care LLC

Details

Name: Genuine Therapeutic Care LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 05 Apr 2024 (8 months ago) (Companies founded in April 2024)
Entity Number: 001-130-000
Register Number: 001130000
ZIP code: 35824 (Companies in Madison, 35824)
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 106 Cotton Bend Drive SWHuntsville, AL 35824

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831943216 2024-04-12 2024-04-12 106 COTTON BEND DR SW, HUNTSVILLE, AL, 358242906, US 44 HUGHES RD STE 1050, MADISON, AL, 357583046, US

Contacts

Phone +1 334-505-9368
Phone +1 256-617-2990

Authorized person

Name MRS. TIFFINI MONIQUE CHANDLER
Role LICENSED PROFESSIONAL COUNSELOR
Phone 3345059368

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Other Provider Identifiers

Issuer NPI 1
Number 1649963596
State AL

Agent

Name Role
Chandler, Tiffini M Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State