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Dianne D. Steensland, LLC

Details

Name: Dianne D. Steensland, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 24 Aug 2011 (13 years ago) (Companies founded in August 2011)
Date of dissolution: 23 Oct 2023
Entity Number: 000-023-521
Register Number: 000023521
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 3124 WEST MAIN STREET, SUITE 14DOTHAN, AL 36303

Activities EVALUATION & TREATMENT FOR SPEECH/LANGUAGE DISORDERS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689935637 2012-06-06 2012-06-06 3124 W MAIN ST, SUITE 14, DOTHAN, AL, 363051146, US 3124 W MAIN ST, SUITE 14, DOTHAN, AL, 363051146, US

Contacts

Phone +1 334-699-8878
Fax 3346995175

Authorized person

Name MRS. DIANNE STEENSLAND
Role OWNER
Phone 3346998878

Taxonomy

Taxonomy Code 235Z00000X - Speech-Language Pathologist
License Number 0109
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 137752
State AL

Agent

Name Role Address
STEENSLAND, DIANNE D Agent 3124 WEST MAIN STREET, SUITE 14DOTHAN, AL 36303

Organizer

Name Role Address
NOT PROVIDED, NOT PROVIDED Organizer 405 OXFORD STREETHEFLIN, AL 36264
STEENSLAND, DIANNE D Organizer 3124 WEST MAIN STREET, SUITE 14DOTHAN, AL 36303

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State