| Name: | Collaborative Counseling, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 May 2018 (6 years ago) |
| Entity Number: | 000-519-618 |
| Register Number: | 000519618 |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Mailing Address: | PO BOX 1258AUBURN, AL 36831 |
| Registered Office Mailing Address ZIP Code: | 36831 |
| Registered Office Street Address: | 500 AUBURN DRIVEAUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972175909 | 2021-07-09 | 2021-09-05 | PO BOX 1258, AUBURN, AL, 368311258, US | 124 BRAGG AVE, AUBURN, AL, 368303809, US | |||||||||||||
|
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| Phone | +1 334-524-7195 |
Authorized person
| Name | AMY PHILLIPS |
| Role | OWNER/PROVIDER |
| Phone | 3345247195 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PHILLIPS, AMY | Agent | 500 AUBURN DRIVEAUBURN, AL 36830 |
| Name | Role | Address |
|---|---|---|
| PHILLIPS, AMY | Organizer | 500 AUBURN DRIVEAUBURN, AL 36830 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
