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The Olive Branch Counseling Center, LLC

Details

Name: The Olive Branch Counseling Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 15 Apr 2022 (3 years ago) (Companies founded in April 2022)
Entity Number: 001-014-738
Register Number: 001014738
ZIP code: 35007 (Companies in Shelby, 35007)
County: Shelby
Place of Formation: Alabama
Registered Office Street Address: 405 WYNLAKES LANESALABASTER, AL 35007

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558091785 2022-06-11 2022-06-11 549 1ST ST N STE C, ALABASTER, AL, 350078755, US 549 1ST ST N STE C, ALABASTER, AL, 350078755, US

Contacts

Phone +1 205-259-8308

Authorized person

Name MRS. ERICA WILSON
Role THERAPIST
Phone 2052598308

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Other Provider Identifiers

Issuer BCBS, CIGNA, VIVA
Number 8590
State AL

Agent

Name Role
WILSON, ERICA Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State