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Valley Behavioral Services, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Incorporator

Name Role Address
ALREFAI, AMMAR Incorporator 102 ESSEX COURT SUITE DMADISON, AL 35758

Agent

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