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Laura Gold, LICSW, PLLC

Details

Name: Laura Gold, LICSW, PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 07 Feb 2022 (3 years ago)
Entity Number: 001-001-602
Register Number: 001001602
County: Tuscaloosa
Place of Formation: Alabama
Registered Office Street Address: 1130 University Blvd., Suite B9 #485Tuscaloosa, AL 35401
Registered Office Street Address ZIP Code: 35401

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790555241 2024-01-05 2024-01-05 1130 UNIVERSITY BLVD STE B9, TUSCALOOSA, AL, 354010328, US 700 ENERGY CENTER BLVD STE 402, NORTHPORT, AL, 354732793, US

Contacts

Phone +1 415-307-3534
Phone +1 205-708-6440

Authorized person

Name MS. LAURA GOLD
Role THERAPIST, OWNER
Phone 2057086440

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role
Gold, Laura R Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State