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The Vine Pastoral Counseling Center, Inc.

Details

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) (Companies founded in February 1999)
Entity Number: 000-551-268
Register Number: 000551268
ZIP code: 35758 (Companies in Madison, 35758)
County: Madison
Place of Formation: Madison County
Principal Address: MADISON, AL
Registered Office Street Address: 4257 SULLIVAN STREETMADISON, AL 35758

Activities PROVIDE PASTORAL COUNSELING SERVICES

National Provider Identifier

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

Contacts

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

Agent

Name Role
RAGLAND, AMANDA W Agent

Incorporator

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