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Origins Counseling and Wellness LLC

Details

Name: Origins Counseling and Wellness LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Dec 2021 (3 years ago) (Companies founded in December 2021)
Entity Number: 000-957-347
Register Number: 000957347
ZIP code: 36064 (Companies in Montgomery, 36064)
County: Montgomery
Place of Formation: Alabama
Registered Office Street Address: 4351 Fair Meadow LanePike Road, AL 36064

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205595345 2021-12-16 2021-12-16 4351 FAIR MEADOW LN, PIKE ROAD, AL, 360642603, US 4351 FAIR MEADOW LN, PIKE ROAD, AL, 360642603, US

Contacts

Phone +1 806-517-8339

Authorized person

Name MR. MICHAEL DWIGHT HALL
Role MANAGING PARTNER
Phone 8065178339

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
Is Primary Yes

Agent

Name Role
Hall, Rachel D Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State