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Deborah Dorris LPC, LLC

Details

Name: Deborah Dorris LPC, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 03 May 2017 (8 years ago)
Entity Number: 000-390-635
Register Number: 000390635
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 4252 CARMICHAEL ROAD SUITE 109MONTGOMERY, AL 36106
Registered Office Street Address ZIP Code: 36106

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922512888 2017-11-29 2022-08-03 PO BOX 101, WETUMPKA, AL, 360920002, US 6249 US HIGHWAY 231, WETUMPKA, AL, 360922831, US

Contacts

Phone +1 334-676-3488
Fax 3342450156

Authorized person

Name MRS. DEBORAH SUE DORRIS
Role OWNER/PROVIDER
Phone 3346763488

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
License Number 1384
State AL
Is Primary Yes

Agent

Name Role
DORRIS, DEBORAH Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State