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Jackie DeVine Counseling LLC

Details

Name: Jackie DeVine Counseling LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Jun 2022 (2 years ago) (Companies founded in June 2022)
Entity Number: 001-027-869
Register Number: 001027869
ZIP code: 35244 (Companies in Jefferson, 35244)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 4057 S Shades Crest RoadHoover, AL 35244

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447984182 2022-07-09 2022-07-09 4057 S SHADES CREST ROAD, HOOVER, AL, 352446727, US 4000 SOUTHLAKE PARK, SUITE 150, HOOVER, AL, 352443348, US

Contacts

Phone +1 205-876-5721

Authorized person

Name MRS. JACQUELINE MOORE DEVINE
Role OWNER
Phone 2058765721

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
Is Primary Yes

Other Provider Identifiers

Issuer ALABAMA BOARD OF EXAMINERS IN COUNSELING
Number 2941
State AL

Agent

Name Role
DeVine, Jacqueline M Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State