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Park Counseling & Consulting, LLC

Details

Name: Park Counseling & Consulting, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Dissolved
Date of registration: 15 Nov 2016 (8 years ago)
Date of dissolution: 28 Jun 2024
Entity Number: 000-376-696
Register Number: 000376696
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 7734 MADISON BLVD., SUITE #123HUNTSVILLE, AL 35806
Registered Office Street Address ZIP Code: 35806

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760982391 2018-02-20 2018-02-20 308 STONEHAM WAY, MADISON, AL, 357566411, US 7734 MADISON BLVD STE 123, HUNTSVILLE, AL, 358062382, US

Contacts

Phone +1 205-643-0589
Phone +1 256-337-7380

Authorized person

Name JULIA OH PARK
Role OWNER
Phone 2056430589

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
License Number L444
State CA
Is Primary No
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
License Number L444
State AL
Is Primary Yes

Agent

Name Role
PARK, JULIA O Agent

Organizer

Name Role
PARK, JULIA OH Organizer

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State