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Laura Wagstaff, LLC

Details

Name: Laura Wagstaff, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Jun 2022 (2 years ago)
Entity Number: 001-026-617
Register Number: 001026617
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 600 Morris BoulevardHomewood, AL 35209
Registered Office Street Address ZIP Code: 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003673823 2024-02-28 2024-02-28 4 OFFICE PARK CIR STE 208, MOUNTAIN BRK, AL, 352232671, US 4 OFFICE PARK CIR STE 208, MOUNTAIN BRK, AL, 352232671, US

Contacts

Phone +1 205-913-3780

Authorized person

Name LAURA WAGSTAFF
Role OWNER
Phone 2059133780

Taxonomy

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

Organizer

Name Role Address
Wagstaff, Laura Organizer 600 Morris BoulevardHomewood, AL 35209

Agent

Name Role Address
Wagstaff, Laura Agent 600 Morris BoulevardHomewood, AL 35209

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State