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Krista Moulton Counseling Services LLC

Details

Name: Krista Moulton Counseling Services LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 Nov 2020 (4 years ago)
Entity Number: 000-822-447
Register Number: 000822447
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 234 Grove Village WayMadison, AL 35758
Registered Office Street Address ZIP Code: 35758

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164038139 2020-09-16 2022-02-21 207 EUSTIS AVE SE STE E, HUNTSVILLE, AL, 358014275, US 207 EUSTIS AVE SE STE E, HUNTSVILLE, AL, 358014275, US

Contacts

Phone +1 256-541-3877

Authorized person

Name MISS KRISTA MOULTON
Role THERAPIST
Phone 2565413877

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
Moulton, Krista Agent 207 Eustis Ave. SE, Suite BHuntsville, AL 35801

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State