| Name: | Inceptivia Health & Wellness LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Dec 2022 (2 years ago) |
| Entity Number: | 001-055-279 |
| Register Number: | 001055279 |
| ZIP code: | 35957 |
| County: | Marshall |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 1126 McVille RoadBoaz, AL 35957 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750094744 | 2023-01-04 | 2023-08-24 | 1126 MCVILLE RD, BOAZ, AL, 359576029, US | 420 4TH ST NW, ATTALLA, AL, 359542227, US | |||||||||||||||||||
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| Phone | +1 256-558-5480 |
| Fax | 2563768102 |
Authorized person
| Name | LISA OSBORNE |
| Role | MEMBER |
| Phone | 2565585480 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Osborne, Lisa | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
