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Phoenix Counseling Services, LLC

Details

Name: Phoenix Counseling Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 07 Sep 2010 (14 years ago) (Companies founded in September 2010)
Date of dissolution: 04 Sep 2019
Entity Number: 000-301-620
Register Number: 000301620
ZIP code: 36695 (Companies in Mobile, 36695)
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 1825 CHARLANDA COURT SOUTHMOBILE, AL 36695

Activities COUNSELING SERVICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053600049 2011-03-31 2011-03-31 2450B OLD SHELL RD, MOBILE, AL, 366073020, US 2450B OLD SHELL RD, MOBILE, AL, 366073020, US

Contacts

Phone +1 251-654-8523
Fax 2516333176

Authorized person

Name MS. JEAN ELIZABETH MAGUIRE
Role SOLE PROPRIETOR
Phone 2516548523

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
License Number 2149C
State AL
Is Primary Yes

Other Provider Identifiers

Issuer INDIVIDUAL NPI
Number 1255599072
State AL

Agent

Name Role
MAGUIRE, JEAN E Agent

Member

Name Role
MAGUIRE, JEAN E Member

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State