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Emily J Watson, LCSW, PIP, L.L.C.

Details

Name: Emily J Watson, LCSW, PIP, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Oct 2004 (20 years ago)
Entity Number: 000-456-499
Register Number: 000456499
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 165 WHITESPORT DRHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801

Activities PSYCHOTHERAPY/COUNSELING SVC TREATMENT OF EMOTIONAL/MENTAL DISOR

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629146766 2006-11-30 2018-07-19 PO BOX 16139, HUNTSVILLE, AL, 358021663, US 111 LONGWOOD DR SW, HUNTSVILLE, AL, 35801, US

Contacts

Phone +1 256-850-4091
Fax 2569701643
Phone +1 256-534-8161
Fax 2565347254

Authorized person

Name EMILY J WATSON
Role OWNER
Phone 2565348161

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
License Number 0125C
State AL
Is Primary Yes

Agent

Name Role
WATSON, EMILY J Agent

Member

Name Role
WATSON, EMILY J Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State