| Name: | Cahaba Marriage and Family Counseling LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Mar 2013 (12 years ago) |
| Entity Number: | 000-274-746 |
| Register Number: | 000274746 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | 108 SPRING RDBIRMINGHAM, AL 35242 |
| Principal Address ZIP Code: | 35242 |
Activities
COUNSELING SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700599677 | 2023-01-05 | 2023-01-05 | 1401 PROVIDENCE PARK STE 250, BIRMINGHAM, AL, 352424694, US | 1401 PROVIDENCE PARK STE 250, BIRMINGHAM, AL, 352424694, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 205-623-4863 |
| Fax | 2054499844 |
Authorized person
| Name | ELLERY COOK BERRYHILL |
| Role | PARTNER/CO-OWNER |
| Phone | 2056234863 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS/BLUE SHIELD OF ALABAMA |
| Number | SB510 |
| State | AL |
| Issuer | AMERICAN BEHAVIORAL |
| Number | 63103 |
| State | AL |
| Issuer | NEW DIRECTIONS |
| Number | NDX99 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| SISK, SHAWNE M | Agent | 4513 PROVIDENCE PARK SUITE #2BIRMINGHAM, AL 35242 |
| Name | Role | Address |
|---|---|---|
| SISK, SHAWNE | Organizer | 108 SPRING RDBIRMINGHAM, AL 35242 |
| SISK, SHAWNE M | Organizer | 4513 PROVIDENCE PARK SUITE #2BIRMINGHAM, AL 35242 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
