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Rise Counseling , LLC

Details

Name: Rise Counseling , LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 31 May 2019 (5 years ago)
Entity Number: 000-577-289
Register Number: 000577289
County: Calhoun
Place of Formation: Talladega County
Registered Office Street Address: 609 DOUGLAS STREETOXFORD, AL 36203
Registered Office Street Address ZIP Code: 36203

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922666007 2019-06-03 2019-09-27 1317 WILMER AVE STE 107, ANNISTON, AL, 362014655, US 1317 WILMER AVE STE 107, ANNISTON, AL, 362014655, US

Contacts

Phone +1 256-624-7045

Authorized person

Name STACY HARKINS JACKSON
Role OWNER/COUNSELOR
Phone 2566247045

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
JACKSON, STACY Agent 609 DOUGLAS STREETOXFORD, AL 36203

Organizer

Name Role Address
JACKSON, STACY Organizer 609 DOUGLAS STREETOXFORD, AL 36203

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State