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License Professional Counseling Services, LLC

Details

Name: License Professional Counseling Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Aug 2014 (10 years ago) (Companies founded in August 2014)
Entity Number: 000-316-556
Register Number: 000316556
ZIP code: 36693 (Companies in Mobile, 36693)
County: Mobile
Place of Formation: Mobile County
Principal Mailing Address: P.O. BOX 190884MOBILE, AL 36619
Principal Address: 5307 LANSDOWNE DRMOBILE, AL 36693

Activities PROVIDE MENTAL/BEHAVIORAL HEALTH COUNSELING SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154073328 2022-01-19 2023-01-10 605 BEL AIR BLVD STE 33, MOBILE, AL, 366063529, US 605 BEL AIR BLVD STE 33, MOBILE, AL, 366063529, US

Contacts

Phone +1 251-444-9740
Fax 2514785050

Authorized person

Name VERONICA DAVIS
Role CEO/LICENSED PROFESSIONAL COUNSELOR
Phone 2514449740

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
Is Primary Yes

Agent

Name Role Address
DAVIS, VERONICA Agent 5307 LANSDOWNE DRMOBILE, AL 36693

Organizer

Name Role Address
DAVIS, VERONICA Organizer 5307 LANSDOWNE DRMOBILE, AL 36693

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State