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SOURCE FOR CHANGE COUNSELING LLC

Details

Name: SOURCE FOR CHANGE COUNSELING LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Oct 2023 (a year ago) (Companies founded in October 2023)
Entity Number: 001-105-757
Register Number: 001105757
ZIP code: 35226 (Companies in Jefferson, 35226)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 1061 MOUNTAIN OAKS DRIVEBIRMINGHAM, AL 35226

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558799205 2013-10-16 2013-10-16 2448 WINE RIDGE DR, BIRMINGHAM, AL, 352442426, US 2909 CRESCENT AVE, BIRMINGHAM, AL, 352092521, US

Contacts

Phone +1 205-585-8761

Authorized person

Name DANA SMALLWOOD
Role OWNER
Phone 2055858761

Taxonomy

Taxonomy Code 104100000X - Social Worker
Is Primary Yes

Agent

Name Role
SMALLWOOD, DANA S Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State