| Name: | Tri-Rivers Counseling Associates LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 May 2020 (5 years ago) (Companies founded in May 2020) |
| Entity Number: | 000-632-077 |
| Register Number: | 000632077 |
| ZIP code: | 36066 (Companies in Autauga, 36066) |
| County: | Autauga |
| Place of Formation: | Autauga County |
| Registered Office Street Address: | 1806 MABEL DRIVEPRATTVILLE, AL 36066 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356962765 | 2020-04-27 | 2020-08-04 | PO BOX 682140, PRATTVILLE, AL, 360682140, US | 8650 MINNIE BROWN RD STE 233, MONTGOMERY, AL, 361177433, US | |||||||||||||||||||||
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| Phone | +1 334-697-3590 |
| Fax | 3347815999 |
Authorized person
| Name | JAMECHA HILL |
| Role | LICENSED COUNSELOR |
| Phone | 3346973590 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1053882860 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HILL, JAMECHA | Agent | 1806 MABEL DRIVEPRATTVILLE, AL 36066 |
| Name | Role | Address |
|---|---|---|
| HILL, JAMECHA | Organizer | 1806 MABEL DRIVEPRATTVILLE, AL 36066 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
