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Vista Counseling and Consultation Services, LLC

Details

Name: Vista Counseling and Consultation Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 Feb 2020 (5 years ago) (Companies founded in February 2020)
Entity Number: 000-621-870
Register Number: 000621870
ZIP code: 36116 (Companies in Montgomery, 36116)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 6212 Tennyson DriveMontgomery, AL 36116

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093343592 2020-03-30 2022-06-08 7358 US HIGHWAY 231, WETUMPKA, AL, 360922053, US 7358 US HIGHWAY 231, WETUMPKA, AL, 360922053, US

Contacts

Phone +1 334-245-4080
Fax 3342697826

Authorized person

Name MRS. LACHANDRA BROOKS-PRIM
Role OWNER/THERAPIST
Phone 3342454080

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role
Brooks-Prim, LaChandra Brooks-Pri Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State