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Tera Walters Therapy LLC

Headquarter

Details

Name: Tera Walters Therapy LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 May 2018 (7 years ago)
Entity Number: 000-520-018
Register Number: 000520018
ZIP code: 36695
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 2523 D'IBERVILLE DRIVE NORTHMOBILE, AL 36695
Registered Office Mailing Address: 2522 FIELD BROOK DRMOBILE, AL 36695

Links between entities

Type Company Name Company Number State
Headquarter of Tera Walters Therapy LLC, MISSISSIPPI 1466872 MISSISSIPPI

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801367107 2018-12-12 2018-12-12 2522 FIELD BROOK DR, MOBILE, AL, 366959396, US 2523 D'IBERVILLE DRIVE NORTH, MOBILE, AL, 36695, US

Contacts

Phone +1 251-680-9686

Authorized person

Name TERA WALTERS
Role OWNER/MANAGER
Phone 2516809686

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Agent

Name Role
WALTERS, TERA Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State