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Willow Tree Counseling, LLC

Details

Name: Willow Tree Counseling, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 May 2017 (8 years ago)
Entity Number: 000-391-603
Register Number: 000391603
County: Madison
Place of Formation: Jefferson County
Registered Office Street Address: 101 LOWE AVE., SUITE 2AHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154887974 2019-02-17 2019-02-17 4245 BALMORAL DR SW STE 203, HUNTSVILLE, AL, 358016497, US 4245 BALMORAL DR SW STE 203, HUNTSVILLE, AL, 358016497, US

Contacts

Phone +1 256-400-1111

Authorized person

Name SHANNAN LEAGUE ROBERTS
Role COUNSELOR
Phone 2564001111

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
ROBERTS, SHANNAN Agent 2115 BIG COVE ROADHUNTSVILLE, AL 35801

Organizer

Name Role Address
LEGALZOOM.COM INC Organizer 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State