| Name: | Prattville Pediatric Speech Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 05 Mar 2019 (6 years ago) |
| Date of dissolution: | 01 Jul 2021 |
| Entity Number: | 000-545-455 |
| Register Number: | 000545455 |
| County: | Autauga |
| Place of Formation: | Autauga County |
| Registered Office Street Address: | 696 NORTH SILVER HILLS DRIVE STE 111PRATTVILLE, AL 36066 |
| Registered Office Street Address ZIP Code: | 36066 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063972982 | 2019-03-25 | 2019-03-25 | 696 SILVER HILLS DR STE 111, PRATTVILLE, AL, 360666184, US | 696 SILVER HILLS DR STE 111, PRATTVILLE, AL, 360666184, US | |||||||||||||||
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| Phone | +1 334-730-1644 |
| Fax | 3347301645 |
Authorized person
| Name | BRENDA DOUBERLY |
| Role | OWNER/MEMBER |
| Phone | 3347301644 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DOUBERLY, BRENDA | Agent |
| Name | Role | Address |
|---|---|---|
| CLEVELAND, CHIP | Organizer | 711 MCQUEEN SMITH ROAD SPRATTVILLE, AL 36066 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
