| Name: | NDA of Alabama, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 24 May 1995 (29 years ago) (Companies founded in May 1995) |
| Date of dissolution: | 13 Nov 2009 |
| Entity Number: | 000-172-101 |
| Register Number: | 000172101 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | ---- |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457567000 | 2007-05-14 | 2008-08-14 | 29 L V STABLER DR, GREENVILLE, AL, 360373850, US | 29 L V STABLER DR, GREENVILLE, AL, 360373850, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 334-383-2249 |
| Fax | 3343832342 |
Authorized person
| Name | MRS. DEBRA L TURNER |
| Role | PHYSICIAN PRACTICE ANALYST |
| Phone | 6153215577 |
Taxonomy
| Taxonomy Code | 283Q00000X - Psychiatric Hospital |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OP |
| Number | 051098108 |
| State | AL |
| Issuer | RAILROAD MEDICARE |
| Number | 260050017 |
| State | AL |
| Issuer | MEDICAID |
| Number | 009942355 |
| State | AL |
| Issuer | BCBS IP |
| Number | 051098107 |
| State | AL |
| Issuer | MEDICAID |
| Number | 051550185 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role |
|---|---|
| MANNING, LISA | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
