| Name: | Valley Psychiatric Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 09 Jun 1999 (25 years ago) (Companies founded in June 1999) |
| Date of dissolution: | 10 Jun 2024 |
| Entity Number: | 000-203-312 |
| Register Number: | 000203312 |
| ZIP code: | 35601 (Companies in Morgan, 35601) |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | DECATUR, AL |
| Registered Office Street Address: | 2205 BELTLINE RD SWDECATUR, AL 35601 |
| Authorized Capital: | $1,000 |
Activities
PRACTICE PSYCHIATRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578804480 | 2013-03-04 | 2013-03-04 | PO BOX 2240, DECATUR, AL, 356092240, US | 1615 KATHY LN SW, DECATUR, AL, 356031026, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-306-4128 |
| Fax | 2564322015 |
Authorized person
| Name | DR. ALBERT LESTER SPRINKLE III |
| Role | PRESIDENT |
| Phone | 2563064128 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | 2290 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | 904 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | 0678-1798C |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | 21792 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SPRINKLE, ALBERT LESTER III | Incorporator | 453 QUARTER MOUNTAIN ROADHARVEST, AL 35749 |
| Name | Role | Address |
|---|---|---|
| SPRINKLE, ALBERT LESTER III | Agent | 453 QUARTER MOUNTAIN ROADHARVEST, AL 35749 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
