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Vines Counseling LLC

Details

Name: Vines Counseling LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Nov 2017 (7 years ago) (Companies founded in November 2017)
Entity Number: 000-408-003
Register Number: 000408003
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 641 HAMBAUGH TERRACEHOMEWOOD, AL 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508372822 2017-12-22 2023-12-29 641 HAMBAUGH TER, BIRMINGHAM, AL, 352095113, US 2204 LAKESHORE DR STE 302, BIRMINGHAM, AL, 352098854, US

Contacts

Phone +1 205-966-5485
Phone +1 205-946-0770

Authorized person

Name KATIE VINES CRAIG
Role THERAPIST
Phone 2059665485

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
License Number 2891
State AL
Is Primary Yes

Other Provider Identifiers

Issuer INDIVIDUAL NPI
Number 1922333756

Agent

Name Role Address
CRAIG, KATIE VINES Agent 641 HAMBAUGH TERRACEHOMEWOOD, AL 35209

Organizer

Name Role Address
CRAIG, KATIE VINES Organizer 641 HAMBAUGH TERRACEHOMEWOOD, AL 35209

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State