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Chesnut Counseling Service LLC

Details

Name: Chesnut Counseling Service LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 15 Sep 2022 (2 years ago)
Entity Number: 001-040-070
Register Number: 001040070
County: Houston
Place of Formation: Alabama
Registered Office Street Address: 212 W. Troy St Suite BDothan, AL 36303
Registered Office Street Address ZIP Code: 36303

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790407518 2022-09-19 2022-09-19 3005 ALISA WAY, BIRMINGHAM, AL, 352435321, US 3005 ALISA WAY, BIRMINGHAM, AL, 352435321, US

Contacts

Phone +1 205-901-6353
Phone +1 256-203-0122

Authorized person

Name TIFFANY M CHESNUT
Role LICENSED PROFESSIONAL COUNSELOR
Phone 2059016353

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role
Chesnut, Tiffany M Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State