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Montgomery Psychiatry, P.C.

Details

Name: Montgomery Psychiatry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 26 Jul 1990 (34 years ago)
Entity Number: 000-138-382
Register Number: 000138382
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 7020 TAYLOR ROAD, SUITE 2700MONTGOMERY, AL 36117
Registered Office Street Address ZIP Code: 36117
Authorized Capital: $500
Paid Share Capital: $100

Activities MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821276874 2008-02-01 2008-03-06 PO BOX 780774, TALLASSEE, AL, 360780008, US 805 FRIENDSHIP RD, SECOND F LOOR, TALLASSEE, AL, 360781234, US

Contacts

Phone +1 334-288-9009

Authorized person

Name TERESA DUFFEY
Role OFFICE MANAGER
Phone 3342889009

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
License Number 15148
State AL
Is Primary Yes

Agent

Name Role Address
FREEMAN, WILLIAM C Agent 9700 WYNCHASE CIRCLEMONTGOMERY, AL 36117

Incorporator

Name Role Address
FREEMAN, WILLIAM C Incorporator 9700 WYNCHASE CIRCLEMONTGOMERY, AL 36117

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State