| Name: | North Alabama Family Medicine & Psychological Services, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 19 Dec 2003 (21 years ago) (Companies founded in December 2003) |
| Date of dissolution: | 21 Oct 2022 |
| Entity Number: | 000-232-589 |
| Register Number: | 000232589 |
| ZIP code: | 35653 (Companies in Franklin, 35653) |
| County: | Franklin |
| Place of Formation: | Franklin County |
| Principal Address: | RUSSELLVILLE, AL |
| Registered Office Street Address: | 537 GANDY STRUSSELLVILLE, AL 35653 |
| Authorized Capital: | $100 |
| Paid Share Capital: | $100 |
Activities
RENDER MEDICAL/PSYCHOLOGICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376694984 | 2007-01-12 | 2020-08-22 | PO BOX 130, 537 GANDY STREET, RUSSELLVILLE, AL, 356530130, US | 537 GANDY ST NE, RUSSELLVILLE, AL, 356531965, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 256-332-9990 |
| Fax | 2563329997 |
Authorized person
| Name | DR. LAURA M LINDSEY |
| Role | OWNER |
| Phone | 2563329990 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 25605 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1063520278 |
| Name | Role |
|---|---|
| LINDSEY, LAURA M | Agent |
| Name | Role |
|---|---|
| LINDSEY, LAURA M | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
