| Name: | Emerge Counseling LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Jun 2022 (2 years ago) |
| Entity Number: | 001-024-389 |
| Register Number: | 001024389 |
| County: | Lowndes |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 204 Woodland DriveHayneville, AL 36040 |
| Registered Office Street Address ZIP Code: | 36040 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588394415 | 2022-06-14 | 2022-06-21 | 1820 GLYNWOOD DR STE B, PRATTVILLE, AL, 360665533, US | 1820 GLYNWOOD DR STE B, PRATTVILLE, AL, 360665533, US | |||||||||||||||||||||||||
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| Phone | +1 334-358-3455 |
| Phone | +1 334-358-2455 |
Authorized person
| Name | MR. JAMES EDWIN THOMAS III |
| Role | OWNER |
| Phone | 3343582455 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | Yes |
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD, AMERICAN BEHAVIORAL |
| Number | 1053875062 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| Thomas, James E III | Agent | 204 Woodland DriveHayneville, AL 36040 |
| Name | Role | Address |
|---|---|---|
| Thomas, James E III | Organizer | 204 Woodland DriveHayneville, AL 36040 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
