Name: | Valley Behavioral Services, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 24 May 2006 (18 years ago) |
Entity Number: | 000-247-441 |
Register Number: | 000247441 |
County: | Madison |
Place of Formation: | Madison County |
Registered Office Street Address: | 105 SOUTHERN POINTE DRMADISON, AL 35758 |
Registered Office Street Address ZIP Code: | 35758 |
Principal Address: | MADISON, AL |
Authorized Capital: | $5,000 |
Paid Share Capital: | $100 |
Activities
MEDICAL PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1992810428 | 2006-08-21 | 2023-11-09 | 708 WILL HALSEY WAY STE C, MADISON, AL, 357582566, US | 708 WILL HALSEY WAY STE C, MADISON, AL, 357582566, US | |||||||||||||||||||
|
Phone | +1 256-325-1349 |
Fax | 2563251354 |
Authorized person
Name | EMAN M LOTFEY |
Role | BILLING SUPERVISOR |
Phone | 2563251349 |
Taxonomy
Taxonomy Code | 2084P0800X - Psychiatry Physician |
License Number | 21428 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ALREFAI, AMMAR | Incorporator | 102 ESSEX COURT SUITE DMADISON, AL 35758 |
Name | Role | Address |
---|---|---|
ALREFAI, AMMAR | Agent | 102 ESSEX COURT SUITE DMADISON, AL 35758 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State