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Amy C. Bryan, LPC LLC

Details

Name: Amy C. Bryan, LPC LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 May 2018 (7 years ago)
Entity Number: 000-518-476
Register Number: 000518476
ZIP code: 35209
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 100 OXMOOR ROAD SUITE 110BIRMINGHAM, AL 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366934424 2018-06-05 2018-06-05 250 CHATEAU DR SW STE 145, HUNTSVILLE, AL, 358016437, US 250 CHATEAU DR SW STE 145, HUNTSVILLE, AL, 358016437, US

Contacts

Phone +1 256-801-8937
Fax 2567158355

Authorized person

Name AMY BRYAN
Role OWNER/LPC
Phone 2568018937

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
Is Primary Yes

Other Provider Identifiers

Issuer LICENSE
Number 3533
State AL

Agent

Name Role Address
USCA INC Agent 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203

Organizer

Name Role Address
LEGALZOOM.COM Organizer 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State