| Name: | SPARK Counseling & Consulting, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 May 2019 (6 years ago) |
| Entity Number: | 000-575-141 |
| Register Number: | 000575141 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 320 LORNA SQUAREHOOVER, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467919654 | 2019-02-25 | 2019-06-14 | 6614 RIME VLG E, VESTAVIA HILLS, AL, 352166180, US | 310 LORNA SQ, VESTAVIA HILLS, AL, 352165479, US | |||||||||||||||||||
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| Phone | +1 205-291-8686 |
| Fax | 2052249471 |
Authorized person
| Name | BRE CARR |
| Role | CEO/THERAPIST |
| Phone | 2052918686 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARR, BRE | Agent | 320 LORNA SQUAREHOOVER, AL 35216 |
| Name | Role | Address |
|---|---|---|
| CARR, BRE | Member | 320 LORNA SQUAREHOOVER, AL 35216 |
| WOODS, KRISTEN | Member | 6815 RIME VILLAGE DRIVE EASTBIRMINGHAM, AL 35216 |
| Name | Role | Address |
|---|---|---|
| CARR, BRE | Organizer | 320 LORNA SQUAREHOOVER, AL 35216 |
| WOODS, KRISTEN | Organizer | 6815 RIME VILLAGE DRIVE EASTBIRMINGHAM, AL 35216 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
