| Name: | The Vine Pastoral Counseling Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 10 Feb 1999 (26 years ago) |
| Entity Number: | 000-551-268 |
| Register Number: | 000551268 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | MADISON, AL |
| Registered Office Street Address: | 4257 SULLIVAN STREETMADISON, AL 35758 |
| Registered Office Street Address ZIP Code: | 35758 |
Activities
PROVIDE PASTORAL COUNSELING SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255405908 | 2006-11-17 | 2011-03-21 | 333 FRANKLIN ST, SUITE 300, HUNTSVILLE, AL, 358014264, US | 333 FRANKLIN ST, SUITE 300, HUNTSVILLE, AL, 358014264, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-461-8580 |
| Fax | 2565178382 |
Authorized person
| Name | MR. AMANDA W. RAGLAND |
| Role | DIRECTOR |
| Phone | 2564618580 |
Taxonomy
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | LMFT |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | LMFT99 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | LMFT110 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | LMFT126 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| RAGLAND, AMANDA W | Agent |
| Name | Role |
|---|---|
| WAGNER, GEORGE E | Incorporator |
| HIGHTOWER, JEANNE | Incorporator |
| PALMER, ROBIN | Incorporator |
| TEW, DAVID E | Incorporator |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
