| Name: | Leigh Miller Counseling, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Feb 2015 (10 years ago) |
| Entity Number: | 000-333-001 |
| Register Number: | 000333001 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 4268 CAHABA HEIGTHS CT SUITE 170BIRMINGHAM, AL 35243 |
| Registered Office Street Address ZIP Code: | 35243 |
| Registered Office Mailing Address: | 2607 N CHANDALAR LNPELHAM, AL 35124 |
| Registered Office Mailing Address ZIP Code: | 35124 |
Activities
NOT PROVIDED
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174977847 | 2016-04-19 | 2016-08-03 | 2607 N CHANDALAR LN, PELHAM, AL, 351241400, US | 3296 CAHABA HEIGHTS RD, STE 100, VESTAVIA, AL, 352431653, US | |||||||||||||||||||||||||||||||
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| Phone | +1 205-277-1519 |
Authorized person
| Name | MS. JENNIFER LEIGH MILLER |
| Role | OWNER |
| Phone | 2052771519 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | 2619 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | LPC0000001909 |
| State | TN |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1831228477 |
| State | TN |
| Name | Role |
|---|---|
| MILLER, JENNIFER L | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
