| Name: | Ferguson Psychology, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Apr 2020 (5 years ago) |
| Entity Number: | 000-627-752 |
| Register Number: | 000627752 |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 709 EAST GLENN AVENUEAUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881212801 | 2020-07-07 | 2020-07-07 | 709 E GLENN AVE, AUBURN, AL, 368305016, US | 709 E GLENN AVE, AUBURN, AL, 368305016, US | |||||||||||||||||||
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| Phone | +1 334-226-7222 |
Authorized person
| Name | DR. BILL FERGUSON |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 3342267222 |
Taxonomy
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ALABAMA LICENSE |
| Number | 1921 |
| State | AL |
| Name | Role |
|---|---|
| FERGUSON, RIANA | Agent |
| Name | Role | Address |
|---|---|---|
| BUCKNER, H. TAYLOR | Organizer | 324 EAST MAGNOLIA AVENUEAUBURN, AL 36830 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
