| Name: | Restorative Counseling Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Nov 2014 (10 years ago) |
| Entity Number: | 000-323-267 |
| Register Number: | 000323267 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 181 W VALLEY AVEBIRMINGHAM, AL 35209 |
| Principal Address ZIP Code: | 35209 |
| Registered Office Street Address: | 8936 GLENRIDGE DRBIRMINGHAM, AL 35206 |
| Registered Office Street Address ZIP Code: | 35206 |
Activities
TO PROVIDE INDIVIDUAL
GROUP AND FAMILY THERAPY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699170944 | 2014-10-29 | 2014-10-30 | 181 W VALLEY AVE STE 112, BIRMINGHAM, AL, 352093691, US | 181 W VALLEY AVE STE 112, BIRMINGHAM, AL, 352093691, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 205-675-6592 |
Authorized person
| Name | MONIQUE SHANDRELL JOHNSON |
| Role | THERAPIST |
| Phone | 2053810929 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | 2920 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | 2972 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | 3600C |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHNSON, MONIQUE | Agent | 8936 GLENRIDGE DRBIRMINGHAM, AL 35206 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, MONIQUE | Organizer | 8936 GLENRIDGE DRBIRMINGHAM, AL 35206 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
