Name: | Insight Therapeutic Services, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Limited Liability Company |
Status: | Exists |
Date of registration: | 27 Feb 2017 (8 years ago) |
Entity Number: | 000-385-136 |
Register Number: | 000385136 |
ZIP code: | 35243 |
County: | Jefferson |
Place of Formation: | Shelby County |
Registered Office Street Address: | 1 PERIMETER PARK S, STE 100NBIRMINGHAM, AL 35243 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1134669922 | 2017-02-28 | 2024-10-15 | 1 PERIMETER PARK S STE 100N, BIRMINGHAM, AL, 352433248, US | 1 PERIMETER PARK S STE 100N, BIRMINGHAM, AL, 352433248, US | |||||||||||||||||||
|
Phone | +1 205-936-2356 |
Fax | 2052735033 |
Authorized person
Name | MS. VICTORIA LYNN FRAZIER |
Role | OWNER/THERAPIST |
Phone | 2059362356 |
Taxonomy
Taxonomy Code | 1041C0700X - Clinical Social Worker |
License Number | 3720C |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
FRAZIER, VICTORIA | Agent | 1 PERIMETER PARK SOUTHbIRMINGHAM, AL 35242-5201 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State