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Laura G. Goulden, PhD, L.L.C.

Details

Name: Laura G. Goulden, PhD, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Oct 2021 (3 years ago) (Companies founded in October 2021)
Entity Number: 000-950-218
Register Number: 000950218
ZIP code: 36582 (Companies in Mobile, 36582)
County: Mobile
Place of Formation: Alabama
Registered Office Street Address: 5606 GULF CREEK CIRCLETHEODORE, AL 36582

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194486639 2022-01-06 2022-08-03 2450 OLD SHELL RD, MOBILE, AL, 366073020, US 2450 OLD SHELL RD, MOBILE, AL, 366073020, US

Contacts

Phone +1 251-476-9011
Fax 2513008578

Authorized person

Name LAURA G GOULDEN
Role PSYCHOLOGIST
Phone 2514769011

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes

Organizer

Name Role Address
LAURA G GOULDEN Organizer 5606 GULF CREEK CIRCLETHEODORE, AL 36582

Agent

Name Role Address
LAURA G GOULDEN Agent 5606 GULF CREEK CIRCLETHEODORE, AL 36582

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State