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Reaching Wholeness, LLC

Details

Name: Reaching Wholeness, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Jun 2018 (6 years ago)
Entity Number: 000-520-664
Register Number: 000520664
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 4818 LLOYD NOLAND PKWYFAIRFIELD, AL 35064
Registered Office Street Address ZIP Code: 35064

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104412725 2020-12-17 2020-12-17 3674 HELENA RD, HELENA, AL, 350803246, US 5140 HIGHWAY 17, HELENA, AL, 350803513, US

Contacts

Phone +1 205-202-0383

Authorized person

Name KARMEL LAURENE MAYO
Role OWNER
Phone 2052020383

Taxonomy

Taxonomy Code 101Y00000X - Counselor
Is Primary Yes
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary No

Other Provider Identifiers

Issuer NPI- INDIVIDUAL
Number 1528627171
State AL
Issuer LPC
Number 4336
State AL

Agent

Name Role
MAYO, KARMEL Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State