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Rocket City Behavioral Health & Billing, LLC

Details

Name: Rocket City Behavioral Health & Billing, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 Jul 2024 (4 months ago)
Entity Number: 001-143-763
Register Number: 001143763
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 4095 Lawson Ridge Drive Apt. 1308Madison, AL 35757
Registered Office Street Address ZIP Code: 35757

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164268595 2024-07-04 2024-07-22 4095 LAWSON RIDGE DR APT 1308, MADISON, AL, 357577232, US 4095 LAWSON RIDGE DR APT 1308, MADISON, AL, 357577232, US

Contacts

Phone +1 256-585-4991
Fax 2563149439

Authorized person

Name MR. ANDREW HARLESS
Role OWNER
Phone 2565854991

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role
Harless, Andrew D Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State