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Tidal Counseling, LLC

Details

Name: Tidal Counseling, LLC
Jurisdiction: Alabama
Legal type: Domestic Series Limited Liability Company
Status: Exists
Date of registration: 29 Oct 2019 (5 years ago)
Entity Number: 000-591-779
Register Number: 000591779
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 1490 NORTHBANK PKWY SUITE 248TUSCALOOSA, AL 35406
Registered Office Street Address ZIP Code: 35406

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093351629 2019-11-19 2019-11-19 1490 NORTHBANK PKWY SUITE 248, TUSCALOOSA, AL, 354062439, US 1490 NORTHBANK PKWY SUITE 248, TUSCALOOSA, AL, 354062439, US

Contacts

Phone +1 205-722-7227

Authorized person

Name MOLLIE OLINE PUTYRAE
Role MENTAL HEALTH COUNSELING
Phone 5099813104

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
PUTYRAE, MOLLIE Agent 1490 NORTHBANK PKWY SUITE 248TUSCALOOSA, AL 35406

Organizer

Name Role Address
PUTYRAE, MOLLIE Organizer 1490 NORTHBANK PKWY SUITE 248TUSCALOOSA, AL 35406

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State