| Name: | Gulf Coast Therapy Works, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Sep 2017 (7 years ago) (Companies founded in September 2017) |
| Entity Number: | 000-404-942 |
| Register Number: | 000404942 |
| ZIP code: | 36551 (Companies in Baldwin, 36551) |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 24414 GEMSTONE DRLOXLEY, AL 36551 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083127120 | 2017-11-12 | 2020-07-30 | PO BOX 1732, DAPHNE, AL, 365261732, US | 101 LOTTIE LN STE 3, FAIRHOPE, AL, 36532, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 251-517-7737 |
| Fax | 2515177720 |
Authorized person
| Name | MS. KAREN SHEA MILLER |
| Role | THERAPIST/OWNER |
| Phone | 2515177737 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH10822 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | 3221 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSED MENTAL HEALTH COUNSELOR |
| Number | MH10822 |
| State | FL |
| Issuer | NPI |
| Number | 1912256330 |
| Issuer | NPI |
| Number | 1568633436 |
| Issuer | LICENSED PROFESSIONAL COUNSELOR |
| Number | 3221 |
| State | AL |
| Issuer | LICENSED PROFESSIONAL COUNSELOR |
| Number | 4133 |
| State | AL |
| Name | Role |
|---|---|
| MILLER, KAREN S | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
