| Name: | Susan Goertz, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 07 May 2015 (10 years ago) |
| Date of dissolution: | 27 Nov 2018 |
| Entity Number: | 000-335-355 |
| Register Number: | 000335355 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 2117 JACK WARNER PARKWAY STE 5TUSCALOOSA, AL 35401 |
| Registered Office Street Address ZIP Code: | 35401 |
| Principal Address: | 420 28TH AVE SUITE 100TUSCALOOSA, AL 35401 |
| Principal Address ZIP Code: | 35401 |
Activities
MARRIAGE AND FAMILY THERAPY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649632910 | 2016-03-24 | 2016-03-24 | 420 28TH AVE, SUITE 100, TUSCALOOSA, AL, 354011088, US | 420 28TH AVE, SUITE 100, TUSCALOOSA, AL, 354011088, US | |||||||||||||||||||
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| Phone | +1 205-210-8099 |
| Fax | 2057520590 |
Authorized person
| Name | MRS. SUSAN HOWELL GOERTZ |
| Role | LMFT/OWNER |
| Phone | 2052108099 |
Taxonomy
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | 337 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOLDEN, HEATH S | Agent | 3721 BRIAR OAK CIRCLEMOUNTAIN BROOK, AL 35223 |
| Name | Role | Address |
|---|---|---|
| GOERTZ, SUSAN | Organizer | 420 28TH AVE SUITE 100TUSCALOOSA, AL 35401 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
