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IVY Leaf Counseling Services. LLC

Details

Name: IVY Leaf Counseling Services. LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 May 2018 (7 years ago)
Entity Number: 000-518-946
Register Number: 000518946
County: Mobile
Place of Formation: Coosa County
Registered Office Street Address: 578 AZALEA ROADMOBILE, AL 36609
Registered Office Street Address ZIP Code: 36609
Registered Office Mailing Address: 10921 HERITAGE CIRCLE NORTHMOBILE, AL 36608
Registered Office Mailing Address ZIP Code: 36608

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538635768 2018-10-15 2018-10-15 10921 HERITAGE CIR N, MOBILE, AL, 366088015, US 578 AZALEA RD STE 112, MOBILE, AL, 366091551, US

Contacts

Phone +1 229-506-3136
Phone +1 251-300-8930

Authorized person

Name MRS. LISA BETH WILLIAMS
Role LICENSED PROFESSIONAL COUNSELOR
Phone 2295063136

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role
WILLIAMS, LISA BETH Agent

Organizer

Name Role Address
WILLIAMS, LISA B Organizer 10921 HERITAGE CIRCLE NORTHMOBILE, AL 36608

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State