| Name: | Jamison Behavioral Wellness, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Apr 2020 (5 years ago) |
| Entity Number: | 000-627-389 |
| Register Number: | 000627389 |
| ZIP code: | 36301 |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 800 LAKELAND DRIVEDOTHAN, AL 36301 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194353672 | 2020-03-30 | 2020-03-30 | 256 HONEYSUCKLE RD STE 12, DOTHAN, AL, 363051168, US | 256 HONEYSUCKLE RD STE 12, DOTHAN, AL, 363051168, US | |||||||||||||||
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| Phone | +1 334-792-6736 |
| Fax | 3347926737 |
Authorized person
| Name | MS. DALLARIE JAMISON |
| Role | OWNER |
| Phone | 2293090684 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JAMISON, DALLARIE | Agent | 800 LAKELAND DRIVEDOTHAN, AL 36301 |
| Name | Role | Address |
|---|---|---|
| JAMISON, DALLARIE | Organizer | 800 LAKELAND DRIVEDOTHAN, AL 36301 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
