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COUNSELING SPECIALISTS OF BIRMINGHAM LLC

Details

Name: COUNSELING SPECIALISTS OF BIRMINGHAM LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 26 Apr 2017 (8 years ago) (Companies founded in April 2017)
Entity Number: 000-390-489
Register Number: 000390489
ZIP code: 35226 (Companies in Jefferson, 35226)
County: Jefferson
Place of Formation: Madison County
Registered Office Street Address: 500 HOOVER PLAZA SUITE 202HOOVER, AL 35226
Registered Office Mailing Address: 2111 CHESTNUT RDVESTAVIA, AL 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255869871 2017-05-26 2017-05-26 3864 TIMBERLINE WAY, VESTAVIA, AL, 352432452, US 1116 23RD ST S, BIRMINGHAM, AL, 352052410, US

Contacts

Phone +1 770-596-5756

Authorized person

Name MRS. MAGGIE HILL KLYCE
Role THERAPIST/OWNER
Phone 7705965756

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
License Number 3959C
State AL
Is Primary Yes

Agent

Name Role
KLYCE, MAGGIE Agent

Organizer

Name Role Address
SIHA, MARSHA Organizer 17350 STATE HWY 249, SUITE 220HOUSTON, TX 77064

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State