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Phillips Counseling Practice, LLC

Details

Name: Phillips Counseling Practice, LLC
Jurisdiction: Alabama
Legal type: Domestic Series Limited Liability Company
Status: Exists
Date of registration: 07 Nov 2017 (7 years ago) (Companies founded in November 2017)
Entity Number: 000-407-730
Register Number: 000407730
ZIP code: 35094 (Companies in Jefferson, 35094)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 554 WHITTAKER PL.LEEDS, AL 35094

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205349644 2017-11-07 2018-03-17 554 WHITTAKER PL, LEEDS, AL, 350944928, US 3324 INDEPENDENCE DR # 100, HOMEWOOD, AL, 352095602, US

Contacts

Phone +1 678-779-8739
Phone +1 205-224-9181
Fax 2054849122

Authorized person

Name MR. JUSTIN DAVID PHILLIPS
Role COUNSELOR/THERAPIST
Phone 6787798739

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
License Number 3758
State AL
Is Primary Yes

Agent

Name Role
PHILLIPS, JUSTIN Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State