| Name: | Yellow Brick Road Counseling LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Aug 2018 (6 years ago) |
| Entity Number: | 000-527-374 |
| Register Number: | 000527374 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Registered Office Street Address: | 5384 COUNTY ROAD 1545CULLMAN, AL 35058 |
| Registered Office Street Address ZIP Code: | 35058 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750863460 | 2018-08-30 | 2024-07-15 | PO BOX 1324, CULLMAN, AL, 350561324, US | 198 US HIGHWAY 278 E, CULLMAN, AL, 350550690, US | |||||||||||||||||||||||||
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| Phone | +1 800-355-7080 |
| Fax | 2566158632 |
| Phone | +1 888-355-7080 |
Authorized person
| Name | SARAH BRICKELL |
| Role | OWNER/COUNSELOR |
| Phone | 8883557080 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | C2505A |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CAQH |
| Number | 14268521 |
| Name | Role | Address |
|---|---|---|
| BRICKELL, SARAH | Agent | 5384 COUNTY ROAD 1545CULLMAN, AL 35058 |
| Name | Role | Address |
|---|---|---|
| BRICKELL, SARAH | Organizer | 5384 COUNTY ROAD 1545CULLMAN, AL 35058 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
