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StayGroundeed Healing, LLC

Details

Name: StayGroundeed Healing, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 Nov 2021 (3 years ago) (Companies founded in November 2021)
Entity Number: 000-952-615
Register Number: 000952615
Place of Formation: Alabama
Registered Office Street Address: 2101 BROADWAY AVEGADSDEN, AL 35904-4715
Registered Office Mailing Address: 303 BROOKHILL CIRPELL CITY, AL 35125-1392

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508522632 2021-11-12 2023-05-24 2101 BROADWAY AVE, GADSDEN, AL, 359044715, US 2101 BROADWAY AVE, GADSDEN, AL, 359044715, US

Contacts

Phone +1 205-615-1445
Fax 2055588555

Authorized person

Name CHARDONNEY LA'SHAI WASHINGTON
Role MENTAL HEALTH COUNSELOR/OWNER
Phone 2056151445

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary No
Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary No
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary No

Agent

Name Role
Washington, Chardonney L Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State