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COMPREHENSIVE COUNSELING ASSOCIATES, LLC

Details

Name: COMPREHENSIVE COUNSELING ASSOCIATES, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Jun 2023 (a year ago)
Entity Number: 001-085-485
Register Number: 001085485
County: De Kalb
Place of Formation: Alabama
Registered Office Street Address: 215 GRAND AVENUE, SWFORT PAYNE, AL 35967
Registered Office Street Address ZIP Code: 35967
Registered Office Mailing Address: 215 GRAND AVENUE,SWFORT PAYNE, AL 35967
Registered Office Mailing Address ZIP Code: 35967

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407535768 2023-07-13 2023-07-13 PO BOX 276, MENTONE, AL, 359840276, US 215 GRAND AVE SW, FORT PAYNE, AL, 359671917, US

Contacts

Phone +1 256-254-9628

Authorized person

Name DR. LYNNA MEADOWS MORTON
Role OWNER
Phone 3342020600

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
MORTON, LYNNA M DR. Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State