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Phoenix Counseling LLC

Details

Name: Phoenix Counseling LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 23 May 2018 (6 years ago)
Entity Number: 000-519-380
Register Number: 000519380
County: Jefferson
Place of Formation: Jefferson County
Registered Office Mailing Address: 3807 WEATHERSTONE WAYBESSEMER, AL 35022
Registered Office Mailing Address ZIP Code: 35022
Registered Office Street Address: 2100-A SOUTH BRIDGE PKWY, STE. 235BIRMINGHAM, AL 35209
Registered Office Street Address ZIP Code: 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154915668 2021-02-24 2022-04-12 3807 WEATHERSTONE WAY, BESSEMER, AL, 350221622, US 500 SOUTHLAND DR. STE 232, HOOVER, AL, 35226, US

Contacts

Phone +1 205-461-8552

Authorized person

Name MS. ELIZABETH A. STURDIVANT
Role THERAPIST
Phone 2052490887

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Other Provider Identifiers

Issuer ALABAMA BOARD OF EXAMINER OF COUNSELING
Number 3497
State AL

Agent

Name Role
STURDIVANT, ELIZABETH A Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State