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Vanessa Goepel, LPC-S, LLC

Details

Name: Vanessa Goepel, LPC-S, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Oct 2019 (5 years ago)
Entity Number: 000-592-001
Register Number: 000592001
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 1490 NORTHBANK PARKWAY SUITE 200TUSCALOOSA, AL 35406
Registered Office Street Address ZIP Code: 35406
Registered Office Mailing Address: 6011 LAKE COVE DRIVETUSCALOOSA, AL 35406
Registered Office Mailing Address ZIP Code: 35406

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982241824 2019-12-10 2022-01-31 1130 UNIVERSITY BLVD STE B9, BOX 339, TUSCALOOSA, AL, 354012984, US 2804 8TH ST STE 102, TUSCALOOSA, AL, 354012108, US

Contacts

Phone +1 205-523-4660

Authorized person

Name MS. VANESSA A GOEPEL
Role OWNER
Phone 2055234660

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role
GOEPEL, VANESSA Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State