| Name: | Alabama Child & Adolescent Counseling Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Apr 2017 (8 years ago) (Companies founded in April 2017) |
| Entity Number: | 000-388-822 |
| Register Number: | 000388822 |
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2909 CRESCENT AVENUEHOMEWOOD, AL 35209 |
| Registered Office Mailing Address: | 431 LAUREL WOODS TRACEHELENA, AL 35080 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467962282 | 2017-10-06 | 2019-09-11 | 431 LAUREL WOODS TRCE, HELENA, AL, 350803913, US | 1025 MONTGOMERY HWY, VESTAVIA HILLS, AL, 352162845, US | |||||||||||||||||||||||
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| Phone | +1 205-530-8743 |
| Fax | 2053797778 |
Authorized person
| Name | ALEXIS SHIVERS SAPP |
| Role | OWNER/ LPC |
| Phone | 2055308743 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ALABAMA LISCENSURE |
| Number | 2909 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ACA COUNSELING SERVICES, LLC 401(K) PLAN | 2023 | 821086265 | 2024-09-17 | ALABAMA CHILD & ADOLESCENT COUNSELING SERVICES, LLC | 4 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 823719843 |
| Plan administrator’s name | FUTUREPLAN FIDUCIARY SERVICES, LLC |
| Plan administrator’s address | P.O. BOX 55757, BOSTON, MA, 02205 |
| Administrator’s telephone number | 8557115283 |
Signature of
| Role | Plan administrator |
| Date | 2024-09-17 |
| Name of individual signing | STEPHANIE FEYMA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 2055308743 |
| Plan sponsor’s address | 100 CHASE PARK SOUTH, HOOVER, AL, 35244 |
Plan administrator’s name and address
| Administrator’s EIN | 823719843 |
| Plan administrator’s name | FUTUREPLAN FIDUCIARY SERVICES, LLC |
| Plan administrator’s address | P.O. BOX 55757, BOSTON, MA, 02205 |
| Administrator’s telephone number | 8557115283 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-17 |
| Name of individual signing | TIFFANY CHENARD |
| Name | Role |
|---|---|
| SHIVERS, ALEXIS R MRS. | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
