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Huntsville Neuropsychiatric Services, LLC

Details

Name: Huntsville Neuropsychiatric Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Jun 2012 (12 years ago)
Entity Number: 000-062-062
Register Number: 000062062
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 608 DAVIS CIRCLE SWHUNTSVILLE, AL 35805
Registered Office Street Address ZIP Code: 35805

Activities PROVIDE PROFESSIONAL PSYCHIATRIC AND/OR MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619239597 2012-06-15 2012-06-15 2303 OLD WAGON RD SE, HUNTSVILLE, AL, 358011369, US 2303 OLD WAGON RD SE, HUNTSVILLE, AL, 358011369, US

Contacts

Phone +1 256-604-0434
Fax 2569646725

Authorized person

Name GAGANDEEP DHALIWAL
Role MEMBER
Phone 2566040434

Taxonomy

Taxonomy Code 2084B0040X - Behavioral Neurology & Neuropsychiatry Physician
License Number 24823
State AL
Is Primary Yes

Organizer

Name Role Address
MANN, NAVDEEP Organizer 2303 OLD WAGON ROADHUNTSVILLE, AL 35801
DHALIWAL, GURPREET Organizer No data
DHALIWAL, GAGANDEEP Organizer No data

Agent

Name Role Address
MANN, NAVDEEP Agent 2303 OLD WAGON ROADHUNTSVILLE, AL 35801

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State