| Name: | West Alabama Behavioral Medicine, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 08 Jun 2000 (24 years ago) (Companies founded in June 2000) |
| Date of dissolution: | 30 Dec 2010 |
| Entity Number: | 000-210-254 |
| Register Number: | 000210254 |
| ZIP code: | 36117 (Companies in Montgomery, 36117) |
| County: | Montgomery |
| Place of Formation: | Tallapoosa County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 6324 WOODMERE BLVDMONTGOMERY, AL 36117 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417039702 | 2006-10-19 | 2020-08-22 | PO BOX 230872, MONTGOMERY, AL, 361230872, US | 1306 OLD ORRVILLE RD, SELMA, AL, 36701, US | |||||||||||||||
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| Phone | +1 334-877-3322 |
| Fax | 3348773322 |
Authorized person
| Name | DAVID DEAN HALL |
| Role | PHYSICIAN PSYCHIATRIST |
| Phone | 3342723889 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HALL, DAVID D | Incorporator |
| SWEENEY, ED | Incorporator |
| BEACHAM, HERMAN JR | Incorporator |
| Name | Role |
|---|---|
| BEACHAM, HERMAN JR | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
