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Broken Crayons Counseling and Consulting LLC

Details

Name: Broken Crayons Counseling and Consulting LLC
Jurisdiction: Alabama
Legal type: Domestic Series Limited Liability Company
Status: Exists
Date of registration: 30 Mar 2021 (4 years ago) (Companies founded in March 2021)
Entity Number: 000-843-985
Register Number: 000843985
ZIP code: 36079 (Companies in Pike, 36079)
County: Pike
Place of Formation: Pike County
Registered Office Street Address: 117 GREEN DRIVETROY, AL 36079

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487220984 2021-06-03 2021-06-03 117 GREEN DR, TROY, AL, 360795701, US 117 GREEN DR, TROY, AL, 360795701, US

Contacts

Phone +1 404-804-5345

Authorized person

Name TYESHA DURR
Role THERAPIST
Phone 4048045345

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
DURR, TYESHA J Agent 117 GREEN DRIVETROY, AL 36079

Organizer

Name Role Address
DURR, TYESHA J Organizer 117 GREEN DRIVETROY, AL 36079

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State