| Name: | ReImagine Counseling, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Dec 2020 (4 years ago) |
| Entity Number: | 000-825-175 |
| Register Number: | 000825175 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 64 CirclewoodTuscaloosa, AL 35405 |
| Registered Office Street Address ZIP Code: | 35405 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750051660 | 2021-09-14 | 2021-09-14 | 5 WOODBINE RD, TUSCALOOSA, AL, 354055035, US | 1470 N BANK PKWY STE 171, TUSCALOOSA, AL, 354062447, US | |||||||||||||||||||
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| Phone | +1 205-541-7881 |
Authorized person
| Name | MS. ALISON MICHELE BIGHAM |
| Role | LICENSED PROFESSIONAL COUNSELOR |
| Phone | 2055417881 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1982172623 |
| State | AL |
| Name | Role |
|---|---|
| Bigham, Alison M Bigham | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
