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Dothan Counseling Associates, P.C.

Details

Name: Dothan Counseling Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 02 Jan 1992 (33 years ago) (Companies founded in January 1992)
Entity Number: 000-147-112
Register Number: 000147112
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 3226 MAIN ST STE 18DOTHAN, AL 36303
Authorized Capital: $1,200

Activities PSYCHOLOGICAL EVALUATION

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144733908 2017-11-14 2017-11-14 540 WESTGATE PKWY STE 100, DOTHAN, AL, 363033073, US 540 WESTGATE PKWY STE 100, DOTHAN, AL, 363033073, US

Contacts

Phone +1 334-794-7887

Authorized person

Name MR. JAMES TIMOTHY PRICE
Role PRESIDENT
Phone 3347947887

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
License Number 795
State AL
Is Primary Yes

Agent

Name Role
LITTLE LPC, SAMUEL R Agent

Incorporator

Name Role
LITTLE LPC, SAMUEL R Incorporator
CHANCY LPC, TAMARA S Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State