| Name: | Auburn Psychological Wellness Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Mar 2020 (5 years ago) |
| Entity Number: | 000-627-063 |
| Register Number: | 000627063 |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 311 N COLLEGE STREETAUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487282620 | 2020-04-01 | 2021-11-09 | 778 N DEAN RD STE 300, AUBURN, AL, 368304315, US | 778 N DEAN RD STE 300, AUBURN, AL, 368304315, US | |||||||||||||
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| Phone | +1 334-219-0425 |
Authorized person
| Name | DR. MARILYN A CORNISH |
| Role | CO-OWNER, LICENSED PSYCHOLOGIST |
| Phone | 3342190425 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role |
|---|---|
| AUBURN PSYCHOLOGICAL WELLNESS SERVIC | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
