| Name: | Clinic 5 Addiction Recovery, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Jan 2017 (8 years ago) |
| Entity Number: | 000-381-905 |
| Register Number: | 000381905 |
| ZIP code: | 35906 |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Registered Office Street Address: | 1 INDEPENDENT DRIVERAINBOW CITY, AL 35906 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639808934 | 2022-06-10 | 2022-06-10 | 1 INDEPENDENT DR, RAINBOW CITY, AL, 359063249, US | 1 INDEPENDENT DR, RAINBOW CITY, AL, 359063249, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-312-2101 |
| Fax | 2569522769 |
| Phone | +1 256-952-2709 |
Authorized person
| Name | MRS. JENNIFER THRASHER |
| Role | CEO |
| Phone | 2563122101 |
Taxonomy
| Taxonomy Code | 2083A0300X - Addiction Medicine (Preventive Medicine) Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0800X - Recovery Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 3245S0500X - Children's Substance Abuse Rehabilitation Facility |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| THRASHER, JENNY | Agent | 1186 LAKE FOREST DRIVE NSOUTHSIDE, AL 35907 |
| Name | Role | Address |
|---|---|---|
| THRASHER, JENNY | Organizer | 1186 LAKE FOREST DRIVE NSOUTHSIDE, AL 35907 |
| THRASHER, TRENT | Organizer | 1186 LAKE FOREST DRIVE NSOUTHSIDE, AL 35907 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1255188310 | 2021-01-16 | 0459 | PPS | 1 Independent Dr, Rainbow City, AL, 35906-3249 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7082827009 | 2020-04-07 | 0459 | PPP | 1 INDEPENDENT DR, RAINBOW CITY, AL, 35906-3249 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
