| Name: | Leslie Smith, LPC, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 May 2016 (9 years ago) |
| Entity Number: | 000-362-670 |
| Register Number: | 000362670 |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Registered Office Street Address: | 104 WOODBURY STREETATHENS, AL 35611 |
| Registered Office Street Address ZIP Code: | 35611 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154838399 | 2018-01-09 | 2018-03-17 | 650 SUN TEMPLE DR, MADISON, AL, 357588621, US | 650 SUN TEMPLE DR, MADISON, AL, 357588621, US | |||||||||||||||||||
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| Phone | +1 256-684-2462 |
| Fax | 2563250084 |
Authorized person
| Name | MS. LESLIE W SMITH |
| Role | SOLE PROPRIETOR |
| Phone | 2566842462 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 2587 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMITH, LESLIE | Agent | 625 MCGOWAN DRIVEBIRMINGHAM, AL 35206 |
Date of last update: 04 Aug 2024
Sources: Alabama Secretary of State
