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Immanuel Counseling Services LLC

Details

Name: Immanuel Counseling Services LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 31 May 2012 (12 years ago) (Companies founded in May 2012)
Entity Number: 000-059-575
Register Number: 000059575
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 100 OXMOORE ROAD SUITE 110BIRMINGHAM, AL 35209

Activities COUNSELING SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891477113 2023-08-04 2023-08-04 888 WYNDHAM VILLAGE CT, OPELIKA, AL, 368047494, US 3104 S RAILROAD ST STE B, PHENIX CITY, AL, 368672992, US

Contacts

Phone +1 334-467-4992
Fax 3346655666
Phone +1 334-655-1414

Authorized person

Name DR. CATRECE DANTZLER
Role LICENSED PROFESSIONAL COUNSELOR
Phone 3344674992

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 101YP2500X - Professional Counselor
Is Primary Yes
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary No
Taxonomy Code 106H00000X - Marriage & Family Therapist
Is Primary No

Agent

Name Role Address
USCA INC Agent 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203

Organizer

Name Role Address
LEGALZOOM.COM, INC. Organizer 101 N Brand Blvd., 11th FloorGlendale, CA 91203

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State