Name: | Choosing Self, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 20 Jul 2022 (2 years ago) |
Entity Number: | 001-030-522 |
Register Number: | 001030522 |
County: | Jefferson |
Place of Formation: | Alabama |
Registered Office Street Address: | 6714 Interlaken AveBirmingham, AL 35212 |
Registered Office Street Address ZIP Code: | 35212 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1679204457 | 2022-06-22 | 2022-06-22 | 6714 INTERLAKEN AVE, BIRMINGHAM, AL, 352122854, US | 529 HUFFMAN RD, BIRMINGHAM, AL, 352158314, US | |||||||||||||||||||
|
Phone | +1 205-693-8309 |
Authorized person
Name | ERIKA JONES |
Role | COUNSELOR |
Phone | 2053820540 |
Taxonomy
Taxonomy Code | 101YP2500X - Professional Counselor |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 279501 |
State | AL |
Name | Role | Address |
---|---|---|
Jones, Erika N | Agent | 6714 Interlaken AvenueBirmingham, AL 35212 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State