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Conscious Living Counseling Services, LLC

Details

Name: Conscious Living Counseling Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 21 Oct 2020 (4 years ago)
Date of dissolution: 01 Nov 2021
Entity Number: 000-800-684
Register Number: 000800684
County: Calhoun
Place of Formation: Calhoun County
Registered Office Street Address: 1302 NOBLE STREET SUITE 2HANNISTON, AL 36201
Registered Office Street Address ZIP Code: 36201

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699371468 2020-12-08 2020-12-08 PO BOX 1132, ANNISTON, AL, 362021132, US 1302 NOBLE ST STE 2H, ANNISTON, AL, 362014677, US

Contacts

Phone +1 256-403-1406
Phone +1 256-402-1406

Authorized person

Name ROBERTA FONTAINE
Role OWNER
Phone 2562211137

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role
FONTAINE, ROBERTA A Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State