| Name: | New Vision Counseling Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 May 2020 (4 years ago) (Companies founded in May 2020) |
| Entity Number: | 000-631-912 |
| Register Number: | 000631912 |
| ZIP code: | 36116 (Companies in Montgomery, 36116) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 7913 millstone courtmontgomery, AL 36116 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285202457 | 2021-06-15 | 2021-06-15 | 8436 CROSSLAND LOOP STE 106, MONTGOMERY, AL, 361178522, US | 8436 CROSSLAND LOOP STE 106, MONTGOMERY, AL, 361178522, US | |||||||||||||||||||
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| Phone | +1 334-398-0668 |
Authorized person
| Name | TANDREA SHIRONE ELMORE |
| Role | THERAPIST |
| Phone | 3343980668 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1053931204 |
| State | AL |
| Name | Role |
|---|---|
| Elmore, Tandrea S elmore | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
