| Name: | Playful Minds Pediatric Therapy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 May 2024 (6 months ago) |
| Entity Number: | 001-134-474 |
| Register Number: | 001134474 |
| County: | Mobile |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 11373 Oak Aly Dr SGrand Bay, AL 36541 |
| Registered Office Street Address ZIP Code: | 36541 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811745144 | 2024-05-10 | 2024-05-10 | 11373 OAK ALLEY DR S, GRAND BAY, AL, 365414489, US | 11373 OAK ALLEY DR S, GRAND BAY, AL, 365414489, US | |||||||||||||||
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| Phone | +1 770-362-6079 |
| Fax | 2512520367 |
Authorized person
| Name | KAYLA NICHOLS |
| Role | CEO/ OCCUPATIONAL THERAPIST |
| Phone | 7703626079 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Nichols, Kayla | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
