| Name: | Clark Psychological Associates, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 17 Nov 2008 (16 years ago) |
| Entity Number: | 000-259-216 |
| Register Number: | 000259216 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 9571 WINFIELD PLACEMONTGOMERY, AL 36117 |
| Registered Office Street Address ZIP Code: | 36117 |
| Authorized Capital: | $1,000,000 |
| Paid Share Capital: | $1,000 |
Activities
PSYCHOLOGICAL COUNSELING/EVALUATION
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437394103 | 2008-12-10 | 2008-12-10 | 9571 WINFIELD PL, MONTGOMERY, AL, 361175157, US | 3196 PARLIAMENT CIRCLE, MONTGOMERY, AL, 361160000, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 334-300-7021 |
Authorized person
| Name | DR. DANIEL C CLARK |
| Role | OWNER |
| Phone | 3343007021 |
Taxonomy
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| License Number | 1076 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI - PERSONAL ISSUED TO DR. CLARK |
| Number | 1225093891 |
| Name | Role |
|---|---|
| CLARK, DANIEL C | Agent |
| Name | Role |
|---|---|
| CLARK, DANIEL C | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
