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West Neuropsychology, LLC

Details

Name: West Neuropsychology, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 21 Oct 2010 (14 years ago) (Companies founded in October 2010)
Date of dissolution: 20 May 2024
Entity Number: 000-303-494
Register Number: 000303494
ZIP code: 35211 (Companies in Jefferson, 35211)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 801 PRINCETON AVENUE SW, SUITE 205BIRMINGHAM, AL 35211

Activities HEALTHCARE PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336446145 2011-02-15 2011-02-15 801 PRINCETON AVE SW, PROFESSIONAL OFFICE BUILDING I, SUITE 205, BIRMINGHAM, AL, 352111310, US 801 PRINCETON AVE SW, PROFESSIONAL OFFICE BUILDING I, SUITE 205, BIRMINGHAM, AL, 352111310, US

Contacts

Phone +1 205-453-9888
Fax 2054530003

Authorized person

Name DR. DELISA ARLINDA WEST
Role OWNER/CLINICAL NEUROPSYCHOLOGIST
Phone 2054539888

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
License Number 1342
State AL
Is Primary Yes

Other Provider Identifiers

Issuer INDIVIDUAL NPI
Number 1376567420
State AL

Agent

Name Role Address
WEST, DELISA A Agent 5413 5TH COURT SBIRMINGHAM, AL 35212

Member

Name Role Address
WEST, DELISA A Member 5413 5TH COURT SBIRMINGHAM, AL 35212

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State