| Name: | Elizabeth Clemons Mental Health Counseling Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 21 Feb 2020 (5 years ago) (Companies founded in February 2020) |
| Date of dissolution: | 19 Jul 2021 |
| Entity Number: | 000-623-260 |
| Register Number: | 000623260 |
| ZIP code: | 36049 (Companies in Crenshaw, 36049) |
| County: | Crenshaw |
| Place of Formation: | Crenshaw County |
| Registered Office Mailing Address: | 5089 MOUNT IDA ROADLUVERNE, AL 36049 |
| Registered Office Street Address: | 8 SOUTH GLENWOOD AVENUE STE ALUVERNE, AL 36049 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922658558 | 2019-09-16 | 2019-12-16 | 5089 MOUNT IDA RD, LUVERNE, AL, 360494115, US | 5089 MOUNT IDA RD, LUVERNE, AL, 360494115, US | |||||||||||||||||||||||
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| Phone | +1 443-987-6404 |
| Fax | 4439142107 |
Authorized person
| Name | MRS. ELIZABETH CLEMONS |
| Role | OWNER/ PSYCHOTHERAPIST |
| Phone | 4439876404 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ELIZABETH CLEMONS MENTAL HEALTH COUNSELLING SERVICES, LLC. |
| Number | 1922658558 |
| Issuer | BCBCS- AL |
| Number | 1922658558 |
| Name | Role | Address |
|---|---|---|
| CLEMONS, ELIZABETH C | Agent | 8 SOUTH GLENWOOD AVENUE STE ALUVERNE, AL 36049 |
| Name | Role | Address |
|---|---|---|
| CLEMONS, ELIZABETH C | Organizer | 8 SOUTH GLENWOOD AVENUE STE ALUVERNE, AL 36049 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
