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Jackson Consulting, LLC

Details

Name: Jackson Consulting, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 12 Sep 2003 (21 years ago) (Companies founded in September 2003)
Date of dissolution: 23 Sep 2008
Entity Number: 000-693-024
Register Number: 000693024
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 91 WINDSOR DRBIRMINGHAM, AL 35209

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033448824 2009-12-08 2009-12-08 5780 HERITAGE PARK DR, MC CALLA, AL, 351113490, US 1 CHASE CORPORATE CENTER DRIVE, SUITE 400, BIRMINGHAM, AL, 35244, US

Contacts

Phone +1 205-313-6432
Fax 2053136431

Authorized person

Name DR. MELISSA FAYE JACKSON
Role OWNER, CLINICAL PSYCHOLOGIST
Phone 2059993701

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
License Number 1322
State AL
Is Primary Yes

Agent

Name Role
JACKSON, ENSLEY Agent

Member

Name Role
JACKSON, ENSLEY Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State