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Mercy Creek Counseling Services, LLC

Details

Name: Mercy Creek Counseling Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 29 Jan 2018 (7 years ago)
Entity Number: 000-507-847
Register Number: 000507847
ZIP code: 36303
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 197 BROAD STREETDOTHAN, AL 36303

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588215545 2019-09-21 2019-09-21 1697 BROAD ST, KINSEY, AL, 363038524, US 545 W MAIN ST, DOTHAN, AL, 363011654, US

Contacts

Phone +1 334-714-1733

Authorized person

Name ROBERT GRICE
Role DIRECTOR
Phone 3347141733

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
Is Primary Yes

Agent

Name Role
GRICE, ROBERT Agent

Organizer

Name Role Address
RHODES, REGINALD A Organizer 214 PERRY AVENUEDOTHAN, AL 36303

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State