| Name: | Foundations Pediatric Therapy Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Nov 2022 (2 years ago) (Companies founded in November 2022) |
| Entity Number: | 001-047-125 |
| Register Number: | 001047125 |
| ZIP code: | 35802 (Companies in Madison, 35802) |
| County: | Madison |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 600 Boulevard South SW, Suite 104JHuntsville, AL 35802 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417665142 | 2022-11-10 | 2022-11-10 | 3500 MAE DR SE, HUNTSVILLE, AL, 358016119, US | 3500 MAE DR SE, HUNTSVILLE, AL, 358016119, US | |||||||||||||||||||
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| Phone | +1 256-714-0612 |
Authorized person
| Name | CHRISTINE ANNE CAUSEY |
| Role | SPEECH-LANGUAGE PATHOLOGIST/OWNER |
| Phone | 2567140612 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1790933380 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| United States Corporation Agents, Inc. | Agent | 101 N Brand Blvd. 11th FloorGlendale, CA 91203 |
| Name | Role | Address |
|---|---|---|
| Legalzoom.com, Inc. | Organizer | 101 N Brand Blvd., 11th FlGlendale, CA 91203 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
