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Lily of the Valley Counseling & Supervision Services, LLC

Details

Name: Lily of the Valley Counseling & Supervision Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 18 Jul 2024 (4 months ago) (Companies founded in July 2024)
Entity Number: 001-145-632
Register Number: 001145632
ZIP code: 35603 (Companies in Morgan, 35603)
County: Morgan
Place of Formation: Alabama
Registered Office Street Address: 496A Highway 67 S.Priceville, AL 35603

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699513903 2024-07-19 2024-07-19 496A HIGHWAY 67 S, DECATUR, AL, 356036300, US 496A HIGHWAY 67 S, DECATUR, AL, 356036300, US

Contacts

Phone +1 256-466-6269

Authorized person

Name ASHLEY OFFORD DAVIS
Role MANGER/LPC-S
Phone 2564666269

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role
Davis, Ashley O Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State