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Mosaic Counseling and Wellness, LLC

Details

Name: Mosaic Counseling and Wellness, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 21 Jan 2020 (5 years ago) (Companies founded in January 2020)
Entity Number: 000-599-181
Register Number: 000599181
ZIP code: 36695 (Companies in Mobile, 36695)
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 3201 WYNNFIELD DR. W.MOBILE, AL 36695

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
K3SBDSNWNC31 2021-11-10 3201 WYNNFIELD DR W, MOBILE, AL, 36695, 2580, USA 3201 WYNNFIELD DR W, MOBILE, AL, 36695, 2580, USA

Business Information

URL https://www.mcwpeace.com
Division Name MOSAIC COUNSELING AND WELLNESS, LLC
Congressional District 01
State/Country of Incorporation AL, USA
Activation Date 2020-06-05
Initial Registration Date 2020-04-13
Entity Start Date 2020-01-21
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621330

Points of Contacts

Electronic Business
Title PRIMARY POC
Name RAQUEL GUIDRY-DAVIS
Role OWNER
Address 3201 WYNNFIELD DR. W., MOBILE, AL, 36695, USA
Government Business
Title PRIMARY POC
Name RAQUEL GUIDRY-DAVIS
Role OWNER
Address 3201 WYNNFIELD DR. W, MOBILE, AL, 36695, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063049047 2020-03-26 2020-06-29 1850 AIRPORT BLVD, MOBILE, AL, 366061375, US 1850 AIRPORT BLVD, MOBILE, AL, 366061375, US

Contacts

Phone +1 228-243-9771
Phone +1 251-260-8800

Authorized person

Name DR. ARETHA RAQUEL GUIDRY-DAVIS
Role OWNER
Phone 2282439771

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role
GUIDRY-DAVIS, ARETHA R Agent

Organizer

Name Role Address
GUIDRY-DAVIS, ARETHA RAQUEL Organizer 3201 WYNNFIELD DR. W.MOBILE, AL 36695

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State