| Name: | Michele King, Ph.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 16 Jun 1994 (30 years ago) |
| Entity Number: | 000-164-848 |
| Register Number: | 000164848 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | AUBURN, AL |
| Registered Office Street Address: | 244 WEST CHEWACLA DRAUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
RENDERING PSYCHOLOGICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063574846 | 2006-12-15 | 2011-02-28 | 703 EAST GLENN AVENUE, AUBURN, AL, 368305016, US | 703 E GLENN AVE, AUBURN, AL, 368305016, US | |||||||||||||||||||||||||||
|
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| Phone | +1 334-821-1822 |
| Fax | 3348211822 |
Authorized person
| Name | DR. MICHELE MARIE KING |
| Role | PRESIDENT |
| Phone | 3348211822 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | 051515491 |
| Number | 051515491 |
| State | AL |
| Issuer | 051099555 |
| Number | 051099555 |
| State | AL |
| Name | Role |
|---|---|
| KING, MICHELE | Agent |
| Name | Role |
|---|---|
| KING, MICHELE | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
