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Enhanced Speech Therapy Services, LLC

Details

Name: Enhanced Speech Therapy Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Series Limited Liability Company
Status: Exists
Date of registration: 02 Mar 2020 (5 years ago)
Entity Number: 000-625-375
Register Number: 000625375
County: Marshall
Place of Formation: Marshall County
Registered Office Street Address: 909 GEORGIA MOUNTAIN ROADGUNTERSVILLE, AL 35976
Registered Office Street Address ZIP Code: 35976

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912520909 2020-05-25 2020-05-25 909 GEORGIA MOUNTAIN RD, GUNTERSVILLE, AL, 359767240, US 501A BLOUNT AVE, GUNTERSVILLE, AL, 359761501, US

Contacts

Phone +1 256-509-4997

Authorized person

Name MRS. SARA ELIZABETH REDMON
Role OWNER
Phone 2565094997

Taxonomy

Taxonomy Code 224Z00000X - Occupational Therapy Assistant
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
Is Primary No
Taxonomy Code 225200000X - Physical Therapy Assistant
Is Primary No
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary Yes

Agent

Name Role
REDMON, SARA B Agent

Organizer

Name Role Address
FREDERICK, PAUL W Organizer 655 GALLATIN STREETHUNTSVILLE, AL 35801

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State