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WEISS LAKE PSYCHOLOGICAL SERVICES, LLC

Details

Name: WEISS LAKE PSYCHOLOGICAL SERVICES, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 23 Jun 2011 (13 years ago) (Companies founded in June 2011)
Date of dissolution: 26 Feb 2024
Entity Number: 000-017-008
Register Number: 000017008
ZIP code: 35960 (Companies in Cherokee, 35960)
County: Cherokee
Place of Formation: Cherokee County
Registered Office Street Address: 839 WEST MAIN STCENTRE, AL 35960

Activities PSYCHOLOGICAL SERVICES FOR CHILDREN/ADOLESCENTS/ADULTS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689952244 2011-08-01 2011-08-02 839 W MAIN ST, CENTRE, AL, 359601235, US 839 W MAIN ST., CENTRE, AL, 359601235, US

Contacts

Phone +1 256-927-5920
Fax 2569273205

Authorized person

Name DR. CHRISTINE JENNINGS
Role OWNER
Phone 2569275920

Taxonomy

Taxonomy Code 103T00000X - Psychologist
License Number 1687
State AL
Is Primary Yes

Agent

Name Role
JENNINGS, CHRISTINE J Agent

Organizer

Name Role Address
JENNINGS, CHRISTINE JO Organizer 8215 ALABAMA HWY 9 NCEDAR BLUFF, AL 35959

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State