| Name: | Intentional Healing, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Mar 2019 (6 years ago) |
| Entity Number: | 000-548-588 |
| Register Number: | 000548588 |
| ZIP code: | 35244 |
| County: | Jefferson |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 15 SOUTHLAKE LANE SUITE 370BIRMINGHAM, AL 35244 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245892249 | 2019-07-01 | 2024-05-01 | 15 SOUTHLAKE LN STE 370, HOOVER, AL, 352443327, US | 15 SOUTHLAKE LN STE 370, HOOVER, AL, 352443327, US | |||||||||||||||||||
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| Phone | +1 205-201-0060 |
| Fax | 8338534391 |
Authorized person
| Name | MRS. PAMELA DANNETTE BIVINS |
| Role | OWNER/ THERAPIST |
| Phone | 2052010060 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Name | Role |
|---|---|
| BIVINS, DANNETTE | Agent |
| Name | Role | Address |
|---|---|---|
| BIVINS, PAMELA DANNETTE | Organizer | 1401 PROVIDENCE PARK STE 250BIRMINGHAM, AL 35242 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
