| Name: | Divine Restoration Counseling and Consulting LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Nov 2019 (5 years ago) (Companies founded in November 2019) |
| Entity Number: | 000-592-248 |
| Register Number: | 000592248 |
| ZIP code: | 36869 (Companies in Russell, 36869) |
| County: | Russell |
| Place of Formation: | Russell County |
| Registered Office Street Address: | 910 14TH STREETPHENIX CITY, AL 36869 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730722182 | 2019-10-17 | 2019-10-17 | 3305 MUSKET DR, COLUMBUS, GA, 319072974, US | 910 14TH ST, PHENIX CITY, AL, 368675051, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 770-362-4769 |
| Phone | +1 678-632-0571 |
Authorized person
| Name | DR. BETTY MARTIN-WOODS |
| Role | COUNSELOR |
| Phone | 7709035262 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | No |
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 101YP1600X - Pastoral Counselor |
| Is Primary | No |
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | No |
| Taxonomy Code | 175T00000X - Peer Specialist |
| Is Primary | No |
| Name | Role |
|---|---|
| STALLION, ADREN MARTIN-WOO | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
