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Roots Counseling, LLC

Details

Name: Roots Counseling, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 20 May 2019 (5 years ago)
Entity Number: 000-576-514
Register Number: 000576514
County: Calhoun
Place of Formation: Calhoun County
Registered Office Street Address: 2208 GLEN DAVIS ROADOXFORD, AL 36203
Registered Office Street Address ZIP Code: 36203

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972161404 2019-05-30 2019-05-30 2208 GLEN DAVIS RD, OXFORD, AL, 362033751, US 2208 GLEN DAVIS RD, OXFORD, AL, 362033751, US

Contacts

Phone +1 256-225-1227

Authorized person

Name KRISTEN O'DELL
Role DIRECTION
Phone 2562251227

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role
O'DELL, KRISTEN Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State