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Divergent Therapy Services LLC

Details

Name: Divergent Therapy Services LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Feb 2024 (9 months ago)
Entity Number: 001-122-393
Register Number: 001122393
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 101 Cahaba Forest DriveTrussville, AL 35173
Registered Office Street Address ZIP Code: 35173

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073368775 2024-04-17 2024-05-17 101 CAHABA FOREST DR, TRUSSVILLE, AL, 351732083, US 1976 GADSDEN HWY STE 208, BIRMINGHAM, AL, 352353266, US

Contacts

Phone +1 256-283-1891

Authorized person

Name ABBY HEDGEPATH
Role OWNER
Phone 2562831891

Taxonomy

Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary Yes

Agent

Name Role
Hedgepath, Abby N Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State