| Name: | ProKids,Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 17 Feb 2006 (19 years ago) (Companies founded in February 2006) |
| Entity Number: | 000-245-869 |
| Register Number: | 000245869 |
| ZIP code: | 36611 (Companies in Mobile, 36611) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 321 ALPINE STCHICKASAW, AL 36611 |
| Principal Address: | CHICKASAW, AL |
| Authorized Capital: | $3,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235365172 | 2009-06-05 | 2009-06-05 | PO BOX 11452, MOBILE, AL, 366710452, US | 321 ALPINE ST, MOBILE, AL, 366112434, US | |||||||||||||||||||||||||
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| Phone | +1 251-457-4170 |
| Fax | 2512595177 |
Authorized person
| Name | DR. DAVID LOUIS ROBERTS |
| Role | PRESIDENT/CLINICAL PSYCHOLOGIST |
| Phone | 2514574170 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | AL1353 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 890013780 |
| State | AL |
| Name | Role |
|---|---|
| ROBERTS, DAVID L | Agent |
| Name | Role |
|---|---|
| ROBERTS, DAVID L | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
