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Psych on Site of Alabama, Inc.

Details

Name: Psych on Site of Alabama, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 26 Jan 2011 (14 years ago)
Entity Number: 000-001-244
Register Number: 000001244
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 3400 INDEPENDENCE BLVDHOMEWOOD, AL 35209
Registered Office Street Address ZIP Code: 35209
Authorized Capital: 1,000,000

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275837619 2010-12-28 2010-12-28 3400 INDEPENDENCE DR, HOMEWOOD, AL, 352095604, US 3400 INDEPENDENCE DR, HOMEWOOD, AL, 352095604, US

Contacts

Phone +1 205-868-4088

Authorized person

Name JANAE ALLEN
Role PRES/CEO
Phone 2058684088

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Incorporator

Name Role Address
NIXON-BOWLES, DEBRA Incorporator 3400 INDEPENDENCE DRHOMEWOOD, AL 35209

Agent

Name Role Address
VINSON, LEVAIL Agent 3400 INDEPENDENCE DRHOMEWOOD, AL 35209

Director

Name Role Address
VINSON, LEVAIL Director 3400 INDEPENDENCE DRHOMEWOOD, AL 35209

Date of last update: 29 Jul 2024

Sources: Alabama Secretary of State