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Heather Surber LICSW LLC

Details

Name: Heather Surber LICSW LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 Aug 2021 (3 years ago)
Entity Number: 000-877-601
Register Number: 000877601
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 9238 Madison Blvd., Suite 116Madison, AL 35758
Registered Office Street Address ZIP Code: 35758

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699442764 2021-08-26 2021-08-26 9238 MADISON BLVD STE 116, MADISON, AL, 357589112, US 9238 MADISON BLVD STE 116, MADISON, AL, 357589112, US

Contacts

Phone +1 256-542-3288
Fax 2565423289

Authorized person

Name HEATHER LYNN SURBER
Role OWNER
Phone 2565423288

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role
Surber, Heather L Agent

Organizer

Name Role Address
Legalzoom.com, Inc. Organizer 101 N Brand Blvd., 11th FlGlendale, CA 91203

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State