| Name: | CORNERSTONE COUNSELING AND EVALUATION, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 Apr 2021 (4 years ago) (Companies founded in April 2021) |
| Entity Number: | 000-845-219 |
| Register Number: | 000845219 |
| ZIP code: | 35504 (Companies in Walker, 35504) |
| County: | Walker |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 62 MARTIN OAKS DRJASPER, AL 35504 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UFZTYM2DDZK1 | 2023-09-12 | 62 MARTIN OAKS DR, JASPER, AL, 35504, USA | 62 MARTIN OAKS DR, JASPER, AL, 35504, USA | |||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||
| Congressional District | 04 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2022-09-13 |
| Initial Registration Date | 2022-09-08 |
| Entity Start Date | 2021-03-30 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621330, 621420, 624310 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JENNIFER TERRY |
| Address | 62 MARTIN OAKS DR, JASPER, AL, 35504, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JENNIFER TERRY |
| Address | 62 MARTIN OAKS DR, JASPER, AL, 35504, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588314785 | 2022-03-28 | 2022-03-28 | 62 MARTIN OAKS DR, JASPER, AL, 355046981, US | 1810 3RD AVE S, JASPER, AL, 355015375, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 205-544-1998 |
Authorized person
| Name | JENNIFER TERRY |
| Role | COUNSELOR |
| Phone | 2055441998 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1689123242 |
| State | AL |
| Name | Role |
|---|---|
| TERRY, JENNIFER | Agent |
| Name | Role | Address |
|---|---|---|
| DOBSON, LOVETTE | Organizer | 17350 STATE HWY 249 #220HOUSTON, TX 77064 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
