| Name: | Over the Mountain Speech, Language, and Learning Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Apr 2004 (21 years ago) |
| Entity Number: | 000-699-648 |
| Register Number: | 000699648 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | VESTAVIA HILLS, AL |
| Registered Office Street Address: | 700 MONTGOMERY HWY STE 106VESTAVIA HILLS, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
Activities
PROVIDE SPEECH/LANGUAGE/LEARNING SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588754808 | 2006-10-15 | 2012-09-12 | 1050 LAKE COLONY LN, VESTAVIA HILLS, AL, 352427405, US | 4231 DOLLY RIDGE ROAD, VESTAVIA HILLS, AL, 35243, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 205-531-8998 |
| Fax | 2059704122 |
Authorized person
| Name | MRS. JERRI HENDRIX SMITH |
| Role | SPEECH/LANGUAGE PATHOLOGIST |
| Phone | 2055318998 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | 922 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 510-00707 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 510-01141 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 515-33411 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 515-33731 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 515-29582 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 515-31438 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 515-26698 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 515-30480 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 515-30858 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 515-30645 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 510-01381 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 515-29574 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 515-33809 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 510-00761 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 515-29553 |
| State | AL |
| Issuer | BLUECROSS/BLUESHIELD PROV |
| Number | 515-34168 |
| State | AL |
| Name | Role |
|---|---|
| SMITH, JERRI HENDRIX | Agent |
| Name | Role |
|---|---|
| MCCRARY, ASHLEY HOLMES | Member |
| SMITH, JERRI HENDRIX | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
