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Ellis Counseling, LLC

Details

Name: Ellis Counseling, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Oct 2002 (22 years ago)
Entity Number: 000-685-744
Register Number: 000685744
County: Autauga
Place of Formation: Autauga County
Principal Address: PRATTVILLE, AL
Registered Office Street Address: 698 N SILVER HILLS DRPRATTVILLE, AL 36066
Registered Office Street Address ZIP Code: 36066

Activities PROFESSIONAL COUNSELING SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649544453 2012-02-27 2012-02-27 1820 GLYNWOOD DR STE B, PRATTVILLE, AL, 360665533, US 1820 GLYNWOOD DR STE B, PRATTVILLE, AL, 360665533, US

Contacts

Phone +1 334-358-2455
Fax 3344912456

Authorized person

Name MRS. MARTHA BRUNER ELLIS
Role OWNER
Phone 3343582455

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
License Number 1835
State AL
Is Primary Yes

Agent

Name Role
ELLIS, MARTHA B Agent

Member

Name Role
ELLIS, MARTHA B Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State