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Serenity Counseling of West Alabama LLC

Details

Name: Serenity Counseling of West Alabama LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Jan 2020 (5 years ago)
Entity Number: 000-621-343
Register Number: 000621343
County: Tuscaloosa
Place of Formation: Madison County
Registered Office Mailing Address: 10701 MELROSE LANECOTTONDALE, AL 35453
Registered Office Mailing Address ZIP Code: 35453
Registered Office Street Address: 423 SKYLAND BLVD.SUITE A-7TUSCALOOSA, AL 35405
Registered Office Street Address ZIP Code: 35405

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457077323 2022-10-12 2022-10-12 10701 MELROSE LN, COTTONDALE, AL, 354532363, US 423 SKYLAND BLVD STE A7, TUSCALOOSA, AL, 354054000, US

Contacts

Phone +1 205-393-7713
Fax 2054699343
Phone +1 205-202-0724

Authorized person

Name MRS. JENNIFER ROSE RHODES
Role OWNER/ THERAPIST/ SOCIAL WORKER
Phone 2053937713

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary No

Agent

Name Role Address
RHODES, JENNIFER Agent 423 SKYLAND BLVD.TUSCALOOSA, AL 35405

Organizer

Name Role Address
RHODES, JENNIFER Organizer 423 SKYLAND BLVD.TUSCALOOSA, AL 35405

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State