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Choosing Self, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
Jones, Erika N Agent 6714 Interlaken AvenueBirmingham, AL 35212

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State