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Sun Belt Psychology, PLLC

Details

Name: Sun Belt Psychology, PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 07 Jan 2024 (a year ago)
Entity Number: 001-114-872
Register Number: 001114872
ZIP code: 36830
County: Lee
Place of Formation: Alabama
Registered Office Street Address: 1100 Runningvine LnAuburn, AL 36830

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487480372 2024-09-09 2024-09-09 2128 ARMISTEAD LN, AUBURN, AL, 368303071, US 100 N GAY ST STE 120110, AUBURN, AL, 368304814, US

Contacts

Phone +1 334-209-4755

Authorized person

Name JACK HOWARD
Role CO-OWNER
Phone 3342094755

Taxonomy

Taxonomy Code 103T00000X - Psychologist
Is Primary No
Taxonomy Code 103TC1900X - Counseling Psychologist
Is Primary Yes
Taxonomy Code 103TE1100X - Exercise & Sports Psychologist
Is Primary No

Agent

Name Role Address
Howard, Jackson M Agent 1100 Runningvine LnAuburn, AL 36830

Organizer

Name Role Address
Howard, Taylor N Organizer 1100 Runningvine LnAuburn, AL 36830
Howard, Jackson M Organizer 1100 Runningvine LnAuburn, AL 36830

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State