| Name: | Jay Byham Counseling, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 May 2015 (10 years ago) (Companies founded in May 2015) |
| Entity Number: | 000-336-434 |
| Register Number: | 000336434 |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 1703 WILDCREEK CIRCLE SEHUNTSVILLE, AL 35802-3956 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073091229 | 2018-07-31 | 2018-07-31 | 111 LONGWOOD DR SW, HUNTSVILLE, AL, 358014522, US | 111 LONGWOOD DR SW, HUNTSVILLE, AL, 358014522, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 256-543-8161 |
| Fax | 2565347254 |
Authorized person
| Name | JAY BYHAM |
| Role | OWNER |
| Phone | 2565348161 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | 2502 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 51144400 |
| State | AL |
| Name | Role |
|---|---|
| BYHAM, JAY H | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
