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Defib Clinical Counseling LLC

Details

Name: Defib Clinical Counseling LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 05 Jul 2023 (a year ago)
Entity Number: 001-087-707
Register Number: 001087707
County: Montgomery
Place of Formation: Alabama
Registered Office Street Address: 2801 S. Colonial Dr.Montgomery, AL 36111
Registered Office Street Address ZIP Code: 36111

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285415901 2023-10-09 2023-10-09 1020 MONTICELLO CT., STE 107, MONTGOMERY, AL, 36117, US 1020 MONTICELLO CT., STE 107, MONTGOMERY, AL, 36117, US

Contacts

Phone +1 334-440-6217

Authorized person

Name MR. JERROD CRITTENDEN
Role CEO/INTEGRATIVE CLINICAL COUNSELOR
Phone 3344406217

Taxonomy

Taxonomy Code 101Y00000X - Counselor
Is Primary Yes

Agent

Name Role
Crittenden, Jerrod Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State