| Name: | Autism Spectrum Counseling Center, Incorporated |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 31 Aug 2011 (13 years ago) |
| Entity Number: | 000-024-265 |
| Register Number: | 000024265 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | 1219 S PERRY STREETMONTGOMERY, AL 36104 |
| Principal Address ZIP Code: | 36104 |
Activities
PROVIDE INTERVENTIONS FOR INDIVIDUALS W/ AUTISM SPECTRUM DISORD
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780099424 | 2014-06-20 | 2014-06-20 | 1219 S PERRY ST, MONTGOMERY, AL, 361045533, US | 2358 FAIRLANE DR BLDG G, MONTGOMERY, AL, 361161604, US | |||||||||||||||||
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| Phone | +1 334-868-1589 |
Authorized person
| Name | MS. GERRI TAYLOR |
| Role | DIRECTOR |
| Phone | 3348681589 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | C1774A |
| State | AL |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 75NE4 | Active | Non-Manufacturer | 2014-07-08 | 2015-06-19 | No data | No data | |||||||||||||
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| POC | GERRI TAYLOR |
| Phone | +1 334-868-1589 |
| Address | 2358 FAIRLANE DR BLDG G, MONTGOMERY, AL, 36116 1604, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| TAYLOR, GERRI A | Agent | 1219 S PERRY STREETMONTGOMERY, AL 36104 |
| Name | Role | Address |
|---|---|---|
| MAJUR, DORN | Director | 415 E VANDERBILT LOOPMONTGOMERY, AL 36109 |
| GOMEZ, CAROLINE | Director | 228 CHADWICK LANEAUBURN, AL 36382 |
| BRYAN, LINDA | Director | 1230 SOUTH PERRY STREETMONTGOMERY, AL 36104 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, GERRI A | Incorporator | 1219 S PERRY STREETMONTGOMERY, AL 36104 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
