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Mary Tate Wade Counseling LLC

Details

Name: Mary Tate Wade Counseling LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 18 Oct 2022 (2 years ago)
Entity Number: 001-045-136
Register Number: 001045136
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 2604 DENYSE DRIVEBIRMINGHAM, AL 35243
Registered Office Street Address ZIP Code: 35243

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790476638 2023-05-19 2023-05-19 400 OFFICE PARK DR STE 130, MOUNTAIN BRK, AL, 352233409, US 400 OFFICE PARK DR STE 130, MOUNTAIN BRK, AL, 352233409, US

Contacts

Phone +1 205-730-6217

Authorized person

Name MARY TATE THOMAS WADE
Role ASSOCIATE LICENSED COUNSELOR
Phone 2058622603

Taxonomy

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

Agent

Name Role
WADE, MARY TATE Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State