| Name: | West Alabama Speech Pathology Services, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Aug 2006 (18 years ago) |
| Entity Number: | 000-483-519 |
| Register Number: | 000483519 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | NORTHPORT, AL |
| Registered Office Street Address: | 507 ENERGY CENTER BLVD STE 301NORTHPORT, AL 35476 |
| Registered Office Street Address ZIP Code: | 35476 |
Activities
PROFESSIONAL SPEECH PATHOLOGY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407925704 | 2006-11-08 | 2020-08-22 | 507 ENERGY CENTER BLVD, SUITE 301, NORTHPORT, AL, 35473, US | 507 ENERGY CENTER BLVD, SUITE 301, NORTHPORT, AL, 35473, US | |||||||||||||||||||||||||
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| Phone | +1 205-345-5488 |
| Fax | 2053458819 |
Authorized person
| Name | MARGARET SLOUGH HASS |
| Role | OWNER SPEECH PATHOLOGIST |
| Phone | 2053455488 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | 745 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 51537068 |
| State | AL |
| Name | Role |
|---|---|
| HASS, BETSY | Agent |
| Name | Role |
|---|---|
| HASS, BETSY | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
