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 |
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 | |||||||||||||
|
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 |
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