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Speak Easy Teletherapy LLC

Details

Name: Speak Easy Teletherapy LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 16 Feb 2022 (3 years ago) (Companies founded in February 2022)
Date of dissolution: 07 Mar 2022
Entity Number: 001-003-179
Register Number: 001003179
ZIP code: 36022 (Companies in Elmore, 36022)
County: Elmore
Place of Formation: Alabama
Registered Office Street Address: 691 shoal creek dr.Deatsville, AL 36022

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134875750 2022-02-22 2022-02-22 691 SHOAL CREEK DR, DEATSVILLE, AL, 360223486, US 691 SHOAL CREEK DR, DEATSVILLE, AL, 360223486, US

Contacts

Phone +1 706-315-7478
Fax 3346251532

Authorized person

Name KRISTY SAVAGE
Role PRACTICE MANAGER
Phone 7063157478

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
Is Primary Yes
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary No

Agent

Name Role
Savage, Dustin H Savage Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State