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By Grace Counseling and Consulting Services LLC

Details

Name: By Grace Counseling and Consulting Services LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Oct 2023 (a year ago)
Entity Number: 001-105-669
Register Number: 001105669
County: Baldwin
Place of Formation: Alabama
Registered Office Street Address: 150 W. Section Ave Suite 101Foley, AL 36535
Registered Office Street Address ZIP Code: 36535
Registered Office Mailing Address: 25620 County Road 65Loxley, AL 36551
Registered Office Mailing Address ZIP Code: 36551

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376258764 2023-01-19 2024-08-07 25620 COUNTY ROAD 65, LOXLEY, AL, 365517622, US 150 W SECTION AVE STE 101, FOLEY, AL, 365353570, US

Contacts

Phone +1 575-202-2376
Phone +1 575-202-2375

Authorized person

Name BEATRIZ G. FAVELA
Role OWNER
Phone 5752022376

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Other Provider Identifiers

Issuer LICSW
Number 5369C
State AL

Agent

Name Role
Favela, Beatriz G Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State