| Name: | Providence Speech & Language Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Feb 2016 (9 years ago) |
| Entity Number: | 000-354-205 |
| Register Number: | 000354205 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | 12151 AUTUMN LEAVES TRAILNORTHPORT, AL 35473 |
| Principal Address ZIP Code: | 35473 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841644812 | 2016-04-15 | 2016-04-15 | 3630 NORTHBROOK DR, SUITE D, NORTHPORT, AL, 354735822, US | 3630 NORTHBROOK DR, SUITE D, NORTHPORT, AL, 354735822, US | |||||||||||||||||
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| Phone | +1 205-246-9345 |
Authorized person
| Name | MRS. LESLEY S. SELMAN |
| Role | PRESIDENT |
| Phone | 2052469345 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | 3366 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SELMAN, LESLEY | Agent | 12151 AUTUMN LEAVES TRAILNORTHPORT, AL 35473 |
| Name | Role | Address |
|---|---|---|
| SELMAN, LESLEY | Organizer | 12151 AUTUMN LEAVES TRAILNORTHPORT, AL 35473 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
