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 |
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 | |||||||||||||||||||||
|
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 |
Name | Role |
---|---|
Favela, Beatriz G | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State