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Providence Counseling, LLC

Details

Name: Providence Counseling, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Jun 2021 (3 years ago) (Companies founded in June 2021)
Entity Number: 000-870-056
Register Number: 000870056
ZIP code: 35071 (Companies in Jefferson, 35071)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 214 Benson RoadGardendale, AL 35071

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215500665 2021-07-22 2021-07-22 214 BENSON RD, GARDENDALE, AL, 350713851, US 214 BENSON RD, GARDENDALE, AL, 350713851, US

Contacts

Phone +1 205-903-6719

Authorized person

Name MR. PHILLIP TERRELL WILLIAMS
Role OWNER
Phone 2059036719

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
Is Primary Yes

Agent

Name Role Address
Williams, Phillip T Agent 214 Benson RoadGardendale, AL 35071

Organizer

Name Role Address
Williams, Phillip T Organizer 214 Benson RoadGardendale, AL 35071

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State