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Sylacauga Counseling & Wellness, LLC

Details

Name: Sylacauga Counseling & Wellness, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Oct 2021 (3 years ago)
Entity Number: 000-947-208
Register Number: 000947208
County: Talladega
Place of Formation: Alabama
Registered Office Street Address: 13 Western AvenueSylacauga, AL 35150
Registered Office Street Address ZIP Code: 35150
Registered Office Mailing Address: Post Office Box 2021Gardendale, AL 35071
Registered Office Mailing Address ZIP Code: 35071

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205598844 2021-10-12 2021-10-15 PO BOX 2021, GARDENDALE, AL, 350711880, US 13 WESTERN AVE, SYLACAUGA, AL, 351502939, US

Contacts

Phone +1 205-213-7049
Fax 2052788755
Phone +1 205-607-2331

Authorized person

Name LATONIA SIMS
Role CLINICAL DIRECTOR
Phone 2052137049

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role
Sims, Latonia Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State