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Jackson Counseling Solutions, LLC

Details

Name: Jackson Counseling Solutions, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 May 2024 (6 months ago)
Entity Number: 001-134-656
Register Number: 001134656
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 306 Honor WayMadison, AL 35758
Registered Office Street Address ZIP Code: 35758

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255188421 2024-05-04 2024-05-25 306 HONOR WAY, MADISON, AL, 357586280, US 9238 MADISON BLVD STE 835, MADISON, AL, 357589101, US

Contacts

Phone +1 205-587-1733
Phone +1 256-363-6578

Authorized person

Name STACEY JACKSON
Role OWNER
Phone 2055871733

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role
jackson, stacey N Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State