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Yellow Brick Road Counseling LLC

Details

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) (Companies founded in August 2018)
Entity Number: 000-527-374
Register Number: 000527374
ZIP code: 35058 (Companies in Cullman, 35058)
County: Cullman
Place of Formation: Cullman County
Registered Office Street Address: 5384 COUNTY ROAD 1545CULLMAN, AL 35058

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BRICKELL, SARAH Agent 5384 COUNTY ROAD 1545CULLMAN, AL 35058

Organizer

Name Role Address
BRICKELL, SARAH Organizer 5384 COUNTY ROAD 1545CULLMAN, AL 35058

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State