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Counseling and Therapy Services, LLC

Details

Name: Counseling and Therapy Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 10 Sep 2012 (12 years ago)
Entity Number: 000-319-865
Register Number: 000319865
County: Lee
Place of Formation: Lee County
Principal Address: 806 TULLAHOMA DRAUBURN, AL 36830
Principal Address ZIP Code: 36830
Principal Mailing Address: 300 OPELIKA ROAD #3341AUBURN, AL 36831
Principal Mailing Address ZIP Code: 36831

Activities COUNSELING AND THERAPY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427308139 2012-09-11 2012-12-05 300 OPELIKA RD UNIT 3341, AUBURN, AL, 368315256, US 300 OPELIKA RD UNIT 3341, AUBURN, AL, 368315256, US

Contacts

Phone +1 334-744-1629

Authorized person

Name MR. TIMOTHY ALAN BIRT
Role THERAPIST
Phone 3347441629

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
License Number 3077
State AL
Is Primary Yes
Taxonomy Code 101YP2500X - Professional Counselor
License Number LPC006956
State GA
Is Primary No
Taxonomy Code 106H00000X - Marriage & Family Therapist
License Number 380
State AL
Is Primary No
Taxonomy Code 106H00000X - Marriage & Family Therapist
License Number MFT001269
State GA
Is Primary No

Organizer

Name Role Address
BIRT, TIMOTHY Organizer 800 TULLAHOMA DRAUBURN, AL 36830

Agent

Name Role Address
BIRT, TIMOTHY Agent 800 TULLAHOMA DRAUBURN, AL 36830

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State