Name: | Auburn Psychological Wellness Services, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Limited Liability Company |
Status: | Exists |
Date of registration: | 01 Jul 2019 (5 years ago) (Companies founded in July 2019) |
Entity Number: | 000-580-182 |
Register Number: | 000580182 |
ZIP code: | 36832 (Companies in Lee, 36832) |
County: | Lee |
Place of Formation: | Lee County |
Registered Office Street Address: | 2470 BUCKHEAD ROADAUBURN, AL 36832 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1225674880 | 2019-11-19 | 2019-11-19 | 311 N COLLEGE ST, AUBURN, AL, 368303814, US | 311 N COLLEGE ST, AUBURN, AL, 368303814, US | |||||||||||||
|
Phone | +1 334-219-0425 |
Authorized person
Name | DR. MARILYN CORNISH |
Role | OWNER, LICENSED PSYCHOLOGIST |
Phone | 3342190425 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | Yes |
Name | Role |
---|---|
CORNISH, MARILYN A | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State