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INDIAN SPRINGS COUNSELING AND WELLNESS LLC

Details

Name: INDIAN SPRINGS COUNSELING AND WELLNESS LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Jun 2024 (6 months ago) (Companies founded in June 2024)
Entity Number: 001-138-949
Register Number: 001138949
Historical Names: MIRANDA MARCANO COUNSELING AND CONSULTING LLC
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 181 W VALLEY AVE STE 245BIRMINGHAM, AL 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306674353 2024-07-22 2024-07-22 5163 COLONIAL PARK RD, BIRMINGHAM, AL, 352423203, US 5502 CALDWELL MILL RD STE A, BIRMINGHAM, AL, 352424546, US

Contacts

Phone +1 205-757-6441

Authorized person

Name MIRANDA KING MARCANO
Role OWNER
Phone 2057576441

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary No
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary Yes

Agent

Name Role
REPUBLIC REGISTERED AGENT LLC Agent

Organizer

Name Role Address
DOBSON, LOVETTE Organizer 17350 STATE HWY 249 #220HOUSTON, TX 77064

Events

Event Date Event Type Old Value New Value
2024-07-27 Name Change MIRANDA MARCANO COUNSELING AND CONSULTING LLC INDIAN SPRINGS COUNSELING AND WELLNESS LLC

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State