| Name: | Jerry L. Hart, Ph.D., Clinical Psychologist, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 23 May 1996 (28 years ago) |
| Date of dissolution: | 13 Dec 2017 |
| Entity Number: | 000-179-929 |
| Register Number: | 000179929 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 7735 MOUNTBATTEN RD NETUSCALOOSA, AL 35406 |
| Registered Office Street Address ZIP Code: | 35406 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $5,000 |
Activities
PROVIDE CLINICAL PSYCHOLOGY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194914101 | 2007-10-16 | 2008-10-27 | 701 UNIVERSITY BLVD E, SUITE 204, TUSCALOOSA, AL, 354012086, US | 701 UNIVERSITY BLVD E, SUITE 204, TUSCALOOSA, AL, 354012086, US | |||||||||||||||||||
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| Phone | +1 205-556-7145 |
| Fax | 2055539127 |
Authorized person
| Name | JERRY LEE HART |
| Role | PRESIDENT |
| Phone | 2055567145 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | 306 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HART, DR JERRY L | Agent |
| Name | Role |
|---|---|
| HART, DR JERRY L | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
