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GREYHAWK COUNSELING SERVICES LLC

Details

Name: GREYHAWK COUNSELING SERVICES LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 16 Aug 2021 (3 years ago)
Entity Number: 000-878-318
Register Number: 000878318
ZIP code: 36526
County: Baldwin
Place of Formation: Alabama
Registered Office Street Address: 13 PARMA DRIVEDAPHNE, AL 36526

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245780360 2016-10-12 2016-10-12 6061 COLONIAL PKWY, UNIT 6208, GULF SHORES, AL, 365422575, US 8141 STATE HIGHWAY 59, SUITE 3, FOLEY, AL, 365353869, US

Contacts

Phone +1 251-200-1567

Authorized person

Name MR. MARK WALTER UNDERWOOD
Role CEO/OWNER/LICENSED PSYCHOTHERAPIST
Phone 2512001567

Taxonomy

Taxonomy Code 106H00000X - Marriage & Family Therapist
License Number 437
State AL
Is Primary Yes

Agent

Name Role Address
UNDERWOOD, MARK Agent 4525 7TH AVENUE WYLAMBIRMINGHAM, AL 35224

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State