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Gardenia Grace Counseling, LLC

Details

Name: Gardenia Grace Counseling, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Jan 2023 (2 years ago) (Companies founded in January 2023)
Entity Number: 001-058-568
Register Number: 001058568
ZIP code: 35244 (Companies in Jefferson, 35244)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 3025 Piper WayHoover, AL 35244

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336992130 2024-04-10 2024-08-13 3025 PIPER WAY, HOOVER, AL, 352443378, US 2105 DEVEREUX CIR, VESTAVIA, AL, 352432563, US

Contacts

Phone +1 205-568-0170
Phone +1 205-319-9152

Authorized person

Name ALEXANDRIA HENDERSON
Role OWNER/COUNSELOR
Phone 2055680170

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary No
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary Yes

Agent

Name Role
Henderson, Alexander M Agent

Member

Name Role Address
Alexandria M. Henderson Member 3025 Piper WayHoover, AL 35244

Organizer

Name Role Address
Alexandria M. Henderson Organizer 3025 Piper WayHoover, AL 35244

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State