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Keener Counseling Services, LLC

Details

Name: Keener Counseling Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 03 May 2018 (7 years ago)
Entity Number: 000-517-563
Register Number: 000517563
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 3215 TRACE WAYTRUSSVILLE, AL 35173
Registered Office Street Address ZIP Code: 35173

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114483179 2019-02-14 2019-02-14 3215 TRACE WAY, TRUSSVILLE, AL, 351732334, US 3536 VANN RD STE A6, BIRMINGHAM, AL, 352353208, US

Contacts

Phone +1 205-706-7295
Fax 2059008793
Phone +1 205-529-9894

Authorized person

Name DEIDRA DICKEY KEENER
Role OWNER
Phone 2057067295

Taxonomy

Taxonomy Code 261QC1500X - Community Health Clinic/Center
Is Primary Yes

Agent

Name Role Address
KEENER, DEIDRA Agent 3215 TRACE WAYTRUSSVILLE, AL 35173

Organizer

Name Role Address
KEENER, DEIDRA Organizer 3215 TRACE WAYTRUSSVILLE, AL 35173

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State