| Name: | Douglas Counseling Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Apr 2013 (12 years ago) |
| Entity Number: | 000-278-512 |
| Register Number: | 000278512 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 205 20TH STREET NORTH SUITE 410BIRMINGHAM, AL 35203 |
| Registered Office Street Address ZIP Code: | 35203 |
Activities
COUNSELING
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982119079 | 2017-12-11 | 2018-06-16 | 205 20TH ST N STE 410, BIRMINGHAM, AL, 352034704, US | 205 20TH ST N STE 410, BIRMINGHAM, AL, 352034704, US | |||||||||||||||||||||||||
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| Phone | +1 205-266-1375 |
| Fax | 2054490040 |
Authorized person
| Name | MR. RONALD E DOUGLAS |
| Role | OWNER/ THERAPIST |
| Phone | 2052661375 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | 2859 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1043616915 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| DOUGLAS, RONALD E | Agent | 205 20TH STREET NORTH SUITE 410BIRMINGHAM, AL 35203 |
| Name | Role | Address |
|---|---|---|
| DOUGLAS, RONALD E | Organizer | 205 20TH STREET NORTH SUITE 410BIRMINGHAM, AL 35203 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
