| Name: | Child & Adolescent Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 04 Aug 1997 (27 years ago) |
| Date of dissolution: | 12 Dec 2022 |
| Entity Number: | 000-189-203 |
| Register Number: | 000189203 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Mailing Address: | PO BOX 55376BIRMINGHAM, AL 35255-5376 |
| Registered Office Street Address: | 1404 MIAMI CIRCLEFORESTDALE, AL 35214 |
| Registered Office Street Address ZIP Code: | 35214 |
| Authorized Capital: | $100 |
Activities
PRACTICE OF PSYCHIATRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134222094 | 2006-09-06 | 2020-08-22 | 1025 MONTGOMERY HWY., SUITE 200, BIRMINGHAM, AL, 352162803, US | 1025 MONTGOMERY HWY., SUITE 200, BIRMINGHAM, AL, 352162803, US | |||||||||||||||||||||||||
|
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| Phone | +1 205-978-7511 |
| Fax | 2059787277 |
Authorized person
| Name | DR. TERESA MORAN |
| Role | CHILD PSYCHIATRIST/PRESIDENT |
| Phone | 2059787511 |
Taxonomy
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | 4339 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS-FED |
| Number | 515-00269 |
| State | AL |
| Name | Role |
|---|---|
| MORAN, H T | Agent |
| Name | Role |
|---|---|
| COPE, ALLEN D | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
