BEHAVIORAL SCIENCES OF ALABAMA, INC.

Business Information

Division Name	BEHAVIORAL SCIENCES OF ALABAMA, INC.
Congressional District	05
State/Country of Incorporation	AL, USA
Activation Date	2023-07-25
Initial Registration Date	2023-07-21
Entity Start Date	2012-01-01
Fiscal Year End Close Date	Dec 31

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	JESSICA SCHOFIELD
Address	810 SHONEY DR SW, STE 120, HUNTSVILLE, AL, 35801, USA

Government Business
Title	PRIMARY POC
Name	DONNA BARNHART
Address	810 SHONEY DR SW, STE 120, HUNTSVILLE, AL, 35801, USA

Past Performance	Information not Available

Contacts

Phone	+1 256-883-3231
Fax	2568839577

Authorized person

Name	DR. DAVID LOREN BARNHART
Role	OWNER/PRESIDENT
Phone	2568833231

Taxonomy

Taxonomy Code	251S00000X - Community/Behavioral Health Agency
License Number	170739
State	AL
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	624100
Sponsor’s telephone number	2568833231
Plan sponsor’s address	810 SHONEY DR SW STE 120, HUNTSVILLE, AL, 358015450

Signature of

Role	Plan administrator
Date	2017-02-21
Name of individual signing	ARLENE BUTLER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	624100
Sponsor’s telephone number	2568833231
Plan sponsor’s address	810 SHONEY DR SW STE 120, HUNTSVILLE, AL, 358015450

Signature of

Role	Plan administrator
Date	2016-06-14
Name of individual signing	ARLENE BUTLER
Role	Employer/plan sponsor
Date	2016-06-14
Name of individual signing	ARLENE BUTLER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	624100
Sponsor’s telephone number	2568833231
Plan sponsor’s address	810 SHONEY DR SW STE 120, HUNTSVILLE, AL, 358015450

Signature of

Role	Plan administrator
Date	2015-06-12
Name of individual signing	ARLENE BUTLER
Role	Employer/plan sponsor
Date	2015-06-12
Name of individual signing	ARLENE BUTLER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	624100
Sponsor’s telephone number	2568833231
Plan sponsor’s address	810 SHONEY DR SW, HUNTSVILLE, AL, 358015328

Signature of

Role	Plan administrator
Date	2014-05-21
Name of individual signing	ARLENE BUTLER
Role	Employer/plan sponsor
Date	2014-05-21
Name of individual signing	ARLENE BUTLER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	624100
Sponsor’s telephone number	2568833231
Plan sponsor’s address	810 SHONEY DR SW, HUNTSVILLE, AL, 358015328

Signature of

Role	Plan administrator
Date	2013-05-22
Name of individual signing	ARLENE BUTLER
Role	Employer/plan sponsor
Date	2013-05-22
Name of individual signing	ARLENE BUTLER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	624100
Sponsor’s telephone number	2568833231
Plan sponsor’s address	7500 MEMORIAL PKWY SW STE 133, HUNTSVILLE A, AL, 358022232

Plan administrator’s name and address

Administrator’s EIN	631225514
Plan administrator’s name	BEHAVIORAL SCIENCES OF ALABAMA INC
Plan administrator’s address	7500 MEMORIAL PKWY SW STE 133, HUNTSVILLE A, AL, 358022232
Administrator’s telephone number	2568833231

Signature of

Role	Plan administrator
Date	2012-06-15
Name of individual signing	ARLENE BUTLER
Role	Employer/plan sponsor
Date	2012-06-15
Name of individual signing	ARLENE BUTLER