| Name: | Pine Hill Counseling and Consulting, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 25 Jan 2010 (15 years ago) (Companies founded in January 2010) |
| Date of dissolution: | 03 Mar 2017 |
| Entity Number: | 000-442-565 |
| Register Number: | 000442565 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 150 SOUTH PERRY STMONTGOMERY, AL 36104 |
Activities
PERSONAL COUNSELING
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801114780 | 2010-05-17 | 2010-05-17 | 600 BOULEVARD SOUTH SW, SUITE 104, HUNTSVILLE, AL, 358022113, US | 600 BOULEVARD SOUTH SW, SUITE 104, HUNTSVILLE, AL, 358022113, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-705-3575 |
| Fax | 2567053515 |
Authorized person
| Name | SUZANNE JANEAN HILLIN |
| Role | EXECUTIVE DIRECTOR/COUNSELOR |
| Phone | 2567053575 |
Taxonomy
| Taxonomy Code | 101YP1600X - Pastoral Counselor |
| Is Primary | No |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | 2616 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 3390 |
| State | AL |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS INC | Agent |
| Name | Role |
|---|---|
| HILLIN, SUZANNE JANEAN | Member |
| BRACKIN, PERRY GLENN | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
