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Living Authentically Counseling Services LLC

Details

Name: Living Authentically Counseling Services LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 06 May 2022 (3 years ago) (Companies founded in May 2022)
Entity Number: 001-018-582
Register Number: 001018582
ZIP code: 36606 (Companies in Mobile, 36606)
County: Mobile
Place of Formation: Alabama
Registered Office Street Address: 316 BEL AIR BLVD SUITE 304MOBILE, AL 36606

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013762798 2024-04-17 2024-04-17 1164 ALBA ST, MOBILE, AL, 366051556, US 316 BEL AIR BLVD STE 304, MOBILE, AL, 366063507, US

Contacts

Phone +1 251-680-4217
Phone +1 251-289-1184

Authorized person

Name LAWANA D KENNEDY
Role BUSINESS OWNER
Phone 2512891184

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes
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
KENNEDY, LAWANA D. Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State