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Collins Counseling & Associates, P.C.

Details

Name: Collins Counseling & Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 27 Feb 2015 (10 years ago)
Entity Number: 000-330-456
Register Number: 000330456
County: Mobile
Place of Formation: Mobile County
Principal Address: 7691 CREEKWOOD DRIVEMOBILE, AL 36695
Principal Address ZIP Code: 36695
Authorized Capital: 100000 @ $.01PV

Activities PROFESSIONAL PRACTICE OF MENTAL HEALTH COUNSELING

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
TK1URN65DTJ7 2025-01-18 1340 SLEDGE DR, MOBILE, AL, 36606, 3021, USA P.O. BOX 194, DE LEON SPRINGS, FL, 32130, USA

Business Information

Congressional District 01
State/Country of Incorporation AL, USA
Activation Date 2024-01-23
Initial Registration Date 2016-12-14
Entity Start Date 2015-02-25
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621330, 621420, 624190

Points of Contacts

Electronic Business
Title PRIMARY POC
Name MARY LEE COLLINS
Address 1340 SLEDGE DRIVE, MOBILE, AL, 36606, USA
Government Business
Title PRIMARY POC
Name MARY LEE COLLINS
Address 1340 SLEDGE DRIVE, MOBILE, AL, 36606, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043689284 2015-09-17 2023-11-14 1340 SLEDGE DR, MOBILE, AL, 366063021, US 1340 SLEDGE DR, MOBILE, AL, 36606, US

Contacts

Phone +1 251-473-3410
Fax 2514764454

Authorized person

Name MS. MARY L COLLINS
Role OWNER, COUNSELOR
Phone 2517253373

Taxonomy

Taxonomy Code 101Y00000X - Counselor
Is Primary No
Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary No
Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 101YP2500X - Professional Counselor
Is Primary Yes
Taxonomy Code 103T00000X - Psychologist
Is Primary No

Agent

Name Role Address
COLLINS, MARY L Agent 7691 CREEKWOOD DRIVEMOBILE, AL 36695

Director

Name Role Address
COLLINS, MARY LEE Director 7691 CREEKWOOD DRIVEMOBILE, AL 36695

Incorporator

Name Role Address
COLLINS, MARY L Incorporator 7691 CREEKWOOD DRIVEMOBILE, AL 36695

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State