| Name: | Affordable Telemental Health, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Sep 2020 (4 years ago) |
| Entity Number: | 000-649-441 |
| Register Number: | 000649441 |
| ZIP code: | 35761 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 234 MISTY COVENEW MARKET, AL 35761 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871245787 | 2022-01-21 | 2022-01-21 | 234 MISTY COVE CT, NEW MARKET, AL, 357617654, US | 234 MISTY COVE CT, NEW MARKET, AL, 357617654, US | |||||||||||||
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| Phone | +1 615-438-0992 |
Authorized person
| Name | TERRI FIELDS |
| Role | CREDENTIALING MANAGER |
| Phone | 4106247576 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| UPCHURCH, DANIEL PHD | Agent | 234 MISTY COVENEW MARKET, AL 35761 |
| Name | Role | Address |
|---|---|---|
| UPCHURCH, DANIEL PHD | Organizer | 234 MISTY COVENEW MARKET, AL 35761 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
