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Concierge Speech Birmingham LLC

Details

Name: Concierge Speech Birmingham LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 17 May 2024 (8 months ago)
Entity Number: 001-136-853
Register Number: 001136853
ZIP code: 35222
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 5461 11th Ave SBirmingham, AL 35222

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740003482 2024-11-01 2024-11-01 5461 11TH AVE S, BIRMINGHAM, AL, 352224041, US 5461 11TH AVE S, BIRMINGHAM, AL, 352224041, US

Contacts

Phone +1 251-401-1503

Authorized person

Name JILLIAN CANARY
Role SPEECH LANGUAGE PATHOLOGIST
Phone 2514011503

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Organizer

Name Role Address
Dominick, Jillian Organizer 5461 11th Ave S,Birmingham, AL 35222

Agent

Name Role Address
Dominick, Jillian Agent 5461 11th Ave S,Birmingham, AL 35222

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State