Name: | Kaleidoscope: ADHD and Autism Assessment and Counseling LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 28 Mar 2024 (10 months ago) |
Entity Number: | 001-128-815 |
Register Number: | 001128815 |
ZIP code: | 35630 |
County: | Lauderdale |
Place of Formation: | Alabama |
Registered Office Mailing Address: | PO BOX 553Sheffield, AL 35660-0553 |
Registered Office Street Address: | 623 South Seminary StreetFlorence, AL 35630 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1275381618 | 2024-05-09 | 2024-05-09 | PO BOX 553, SHEFFIELD, AL, 356600553, US | 2132 6TH AVE SE STE 505, DECATUR, AL, 356016580, US | |||||||||||||||||||
|
Phone | +1 205-789-0459 |
Phone | +1 256-648-5624 |
Authorized person
Name | DREW STEVEN KELLOUGH |
Role | OWNER |
Phone | 2057890459 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | No |
Taxonomy Code | 1041C0700X - Clinical Social Worker |
Is Primary | Yes |
Name | Role |
---|---|
Kellough, Drew S | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State