| Name: | Psychological and Counseling Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 30 Dec 1999 (25 years ago) |
| Entity Number: | 000-207-028 |
| Register Number: | 000207028 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | MADISON, AL |
| Registered Office Street Address: | 1871 SLAUGHTER RD STE AMADISON, AL 35758 |
| Registered Office Street Address ZIP Code: | 35758 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $100 |
Activities
PSYCHOLOGICAL COUNSELING/TESTING/EVALUATION/ASSESSMENTS SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194889600 | 2006-12-20 | 2011-02-01 | PO BOX 11791, HUNTSVILLE, AL, 358141791, US | 936 JEFF RD NW, HUNTSVILLE, AL, 358061238, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 256-837-2127 |
Authorized person
| Name | DR. BELVIA W MATTHEWS |
| Role | OWNER |
| Phone | 2568372127 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | 657 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529908550 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| MATTHEWS, BELVIA W | Agent | 115 FAIRINGTON RDHUNTSVILLE, AL 35806 |
| Name | Role | Address |
|---|---|---|
| MATTHEWS, BELVIA W | Incorporator | 115 FAIRINGTON RDHUNTSVILLE, AL 35806 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
