| Name: | Grace Counseling & Consultation Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Mar 2016 (9 years ago) |
| Entity Number: | 000-358-805 |
| Register Number: | 000358805 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 1477 SLAUGHTER ROADMADISON, AL 35758 |
| Registered Office Street Address ZIP Code: | 35758 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912528381 | 2020-04-27 | 2020-04-27 | 650 SUN TEMPLE DR, MADISON, AL, 357588621, US | 650 SUN TEMPLE DR, MADISON, AL, 357588621, US | |||||||||||||||||
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| Phone | +1 256-684-2462 |
Authorized person
| Name | GRACE A CRAWFORD |
| Role | MANAGING MEMBER |
| Phone | 2566842462 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1700144979 |
| Name | Role |
|---|---|
| CRAWFORD, GRACE T | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
