| Name: | BOLER & Associates, Counseling & Consultation Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Jul 2021 (3 years ago) (Companies founded in July 2021) |
| Entity Number: | 000-873-405 |
| Register Number: | 000873405 |
| ZIP code: | 35802 (Companies in Madison, 35802) |
| County: | Madison |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 600 Boulevard South SW Suite 104JHuntsville, AL 35802 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568132991 | 2021-09-16 | 2021-09-16 | 126 ASHBY ST, CALERA, AL, 350405628, US | 126 ASHBY ST, CALERA, AL, 350405628, US | |||||||||||||||||||||
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| Phone | +1 205-565-4469 |
| Fax | 2056374093 |
Authorized person
| Name | MR. CORY DE'ANDRE BOLER |
| Role | OWNER |
| Phone | 2055654469 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 264723 |
| State | AL |
| Name | Role |
|---|---|
| USCA, Inc. | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
