| Name: | Exodus Counseling & Consulting, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 May 2020 (5 years ago) (Companies founded in May 2020) |
| Entity Number: | 000-629-940 |
| Register Number: | 000629940 |
| ZIP code: | 35126 (Companies in Jefferson, 35126) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2629 CHESTNUT WAYPINSON, AL 35126 |
| Registered Office Mailing Address: | PO BOX 13966BIRMINGHAM, AL 35202 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154926459 | 2020-12-03 | 2020-12-03 | PO BOX 13966, BIRMINGHAM, AL, 352023941, US | 181 W VALLEY AVE STE 141, BIRMINGHAM, AL, 352093691, US | |||||||||||||||||||||||||
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| Phone | +1 205-683-5590 |
| Fax | 8009155957 |
Authorized person
| Name | LATONYA MELTON |
| Role | OWNER |
| Phone | 2056835590 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | N/A |
| Number | NA |
| State | AL |
| Name | Role | Address |
|---|---|---|
| MELTON, LATONYA | Agent | 2629 CHESTNUT WAYPINSON, AL 35126 |
| Name | Role | Address |
|---|---|---|
| MELTON, LATONYA | Organizer | 2629 CHESTNUT WAYPINSON, AL 35126 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
