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LPR Mental Healthcare, LLC

Details

Name: LPR Mental Healthcare, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 21 Jan 2021 (4 years ago)
Entity Number: 000-831-061
Register Number: 000831061
ZIP code: 35802
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 1015 Airport Rd. SW Suite 204Huntsville, AL 35802

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992557094 2024-04-02 2024-04-02 185 WHITESPORT DR SW STE 5, HUNTSVILLE, AL, 358016487, US 185 WHITESPORT DR SW STE 5, HUNTSVILLE, AL, 358016487, US

Contacts

Phone +1 256-880-3500
Fax 2568809203

Authorized person

Name MRS. LAUREN PERKINS ROSS
Role CRNP, PMHNP-BC
Phone 2568803500

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role
Ross, Lauren P PMHNP Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State