| Name: | Child and Adolescent Psychological Services of Inverness, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 03 Sep 2004 (20 years ago) (Companies founded in September 2004) |
| Date of dissolution: | 02 Mar 2015 |
| Entity Number: | 000-237-217 |
| Register Number: | 000237217 |
| ZIP code: | 35242 (Companies in Shelby, 35242) |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 4129 GUILFORD RDBIRMINGHAM, AL 35242 |
| Authorized Capital: | $100 |
Activities
COUNSELING/RELATED PSYCHOLOGICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639287857 | 2006-08-28 | 2011-08-24 | 4898 VALLEYDALE RD, SUITE A1, BIRMINGHAM, AL, 352424654, US | 4898 VALLEYDALE RD, SUITE A1, BIRMINGHAM, AL, 352424654, US | |||||||||||||||||||
|
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| Phone | +1 205-981-1330 |
| Fax | 2059811390 |
Authorized person
| Name | DR. MICHAEL DAVID FETTER |
| Role | OWNER/PRESIDENT |
| Phone | 2059811330 |
Taxonomy
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| License Number | 1077 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FETTER, MICHAEL D | Agent |
| Name | Role |
|---|---|
| FETTER, MICHAEL D | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
