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Authentic Counseling Services LLC

Details

Name: Authentic Counseling Services LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Jul 2020 (4 years ago)
Entity Number: 000-638-384
Register Number: 000638384
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 7830 HWY 72 W, STE. 100-1106MADISON, AL 35758
Registered Office Street Address ZIP Code: 35758

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225637978 2020-10-23 2020-10-23 3605 GOVERNORS DR SW, HUNTSVILLE, AL, 358075001, US 3605 GOVERNORS DR SW UNIT 7312, HUNTSVILLE, AL, 358075062, US

Contacts

Phone +1 256-680-3779
Fax 2565623131

Authorized person

Name TOMEKA S HALE
Role SOCIAL WORKER
Phone 2566803779

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Other Provider Identifiers

Issuer NA
Number NA
State AL

Agent

Name Role
TOMEKA S. HALE Agent

Organizer

Name Role Address
LEGALZOOM.COM INC. Organizer 101 N BRAND, 11TH FLGLENDALE, CA 91203

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State