| Name: | AUBURN PSYCHOLOGY GROUP, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Mar 2012 (13 years ago) |
| Entity Number: | 000-046-314 |
| Register Number: | 000046314 |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 861 NORTH DEAN ROADAUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
Activities
PROFESSIONAL PSYCHOLOGICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083980676 | 2012-03-28 | 2023-11-27 | 861 N DEAN RD STE D, AUBURN, AL, 368309421, US | 861 N DEAN RD STE D, AUBURN, AL, 368309421, US | |||||||||||||||
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| Phone | +1 334-887-4343 |
| Fax | 3348875656 |
Authorized person
| Name | STEPHANIE GLIDEWELL |
| Role | OFFICE MANAGER |
| Phone | 3348874343 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATTSON, GERALD A JR | Organizer | 987 DREW LANEAUBURN, AL 36830 |
| Name | Role |
|---|---|
| VOLLENWEIDER, GLEN | Agent |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
