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Alabama Counseling, LLC

Details

Name: Alabama Counseling, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Dec 2003 (21 years ago)
Entity Number: 000-695-152
Register Number: 000695152
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: OFFICE PARK BUILDING #4 STE 204BIRMINGHAM, AL 35223
Registered Office Street Address ZIP Code: 35223

Activities COUNSELING/PSYCHIATRIC SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417009143 2007-01-16 2020-08-22 4 OFFICE PARK CIRCLE, SUITE 204, BIRMINGHAM, AL, 352232538, US 4 OFFICE PARK CIRCLE, SUITE 204, BIRMINGHAM, AL, 352232538, US

Contacts

Phone +1 205-423-0083
Fax 2054230058

Authorized person

Name MR. JAMES WILLIAM ANDERSON
Role EXECUTIVE DIRECTOR
Phone 2054230083

Taxonomy

Taxonomy Code 101Y00000X - Counselor
License Number 630
State AL
Is Primary No
Taxonomy Code 1041C0700X - Clinical Social Worker
License Number 1977C
State AL
Is Primary No
Taxonomy Code 2084P0800X - Psychiatry Physician
License Number 11245
State AL
Is Primary No

Agent

Name Role
ANDERSON, JIM Agent

Member

Name Role
ANDERSON, JIM Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State