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
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 | |||||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
MAGUIRE, JEAN E | Agent |
Name | Role |
---|---|
MAGUIRE, JEAN E | Member |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State