| Name: | Evergreen Therapy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Aug 2024 (3 months ago) |
| Entity Number: | 001-149-506 |
| Register Number: | 001149506 |
| County: | Madison |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2211 Columbia Dr SWHuntsville, AL 35803 |
| Registered Office Street Address ZIP Code: | 35803 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427882349 | 2024-09-02 | 2024-09-02 | 2211 COLUMBIA DR SW, HUNTSVILLE, AL, 358031462, US | 2211 COLUMBIA DR SW, HUNTSVILLE, AL, 358031462, US | |||||||||||||
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| Phone | +1 256-658-0359 |
Authorized person
| Name | MS. GENEVIEVE WIGGINS |
| Role | MENTAL HEALTH THERAPIST |
| Phone | 2566580359 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Wiggins, Genevieve R | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
