| Name: | NeuroLife, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Jan 2007 (18 years ago) |
| Entity Number: | 000-488-095 |
| Register Number: | 000488095 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 7501 SOUTH MEMORIAL PKY STE 101HUNTSVILLE, AL 35802 |
| Registered Office Street Address ZIP Code: | 35802 |
Activities
NEUROPSYCHOLOGY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912108838 | 2007-05-29 | 2008-07-23 | 1428 WEATHERLY RD SE, SUITE 111, HUNTSVILLE, AL, 358031181, US | 7501 MEMORIAL PKWY SW, SUITE 101, HUNTSVILLE, AL, 358022204, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-535-2322 |
| Fax | 2566505909 |
Authorized person
| Name | DR. CAROL P WALKER |
| Role | OWNER |
| Phone | 2565352322 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | 619 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | PSY002462 |
| State | GA |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | 619 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PSY002462 |
| State | GA |
| Is Primary | No |
| Taxonomy Code | 103TF0200X - Forensic Psychologist |
| License Number | 619 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 103TF0200X - Forensic Psychologist |
| License Number | PSY002462 |
| State | GA |
| Is Primary | No |
| Taxonomy Code | 103TH0100X - Health Service Psychologist |
| License Number | 619 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 103TH0100X - Health Service Psychologist |
| License Number | PSY002462 |
| State | GA |
| Is Primary | No |
| Taxonomy Code | 103TR0400X - Rehabilitation Psychologist |
| License Number | 619 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 103TR0400X - Rehabilitation Psychologist |
| License Number | PSY002462 |
| State | GA |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WALKER, CAROL | Agent | 25798 NEWBY RDMADISON, AL 35756 |
| Name | Role | Address |
|---|---|---|
| WALKER, CAROL | Member | 25798 NEWBY RDMADISON, AL 35756 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
