| Name: | Hearing and Speech Clinic, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Oct 2001 (23 years ago) |
| Entity Number: | 000-678-005 |
| Register Number: | 000678005 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 2820 COLUMBIANA RDBIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
Activities
REAL/PERSONAL PROPERTY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811164320 | 2008-05-14 | 2014-03-05 | 303 WILLIAMS AVE SW, STE 1111, HUNTSVILLE, AL, 358016012, US | 303 WILLIAMS AVE SW, STE 1111, HUNTSVILLE, AL, 358016012, US | |||||||||||||||||||||||||
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| Phone | +1 256-536-7405 |
| Fax | 2565367416 |
Authorized person
| Name | MRS. KATHRYN L. JONES |
| Role | OFFICE MANAGER |
| Phone | 2565367405 |
Taxonomy
| Taxonomy Code | 231H00000X - Audiologist |
| License Number | 303 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529101530 |
| State | AL |
| Name | Role |
|---|---|
| CHURCHILL, FAYE M | Member |
| MURPHREE, GEORGE D JR | Member |
| Name | Role |
|---|---|
| CHURCHILL, FAYE M | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
