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Shelby Sipe Professional Counseling LLC

Details

Name: Shelby Sipe Professional Counseling LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 12 Nov 2019 (5 years ago)
Entity Number: 000-592-910
Register Number: 000592910
ZIP code: 36879
County: Lee
Place of Formation: Lee County
Registered Office Mailing Address: PO BOX 2555AUBURN, AL 36831
Registered Office Street Address: 10600 HWY 280 WESTAUBURN, AL 36879

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023686417 2021-06-14 2024-03-04 196 BLASTED ROCK RD, AUBURN, AL, 368304374, US 861E N DEAN RD STE B, AUBURN, AL, 368309419, US

Contacts

Phone +1 317-544-8413
Phone +1 334-707-8639
Fax 3348888298

Authorized person

Name MRS. SHELBY SIPE
Role OWNER, PROFESSIONAL COUNSELOR
Phone 3175448413

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
Is Primary Yes

Other Provider Identifiers

Issuer ALABAMA BOARD OF EXAMINERS IN COUNSELING
Number 4437
State AL

Agent

Name Role
HUMPHRY, SHELBY Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State