| Name: | KCL Psychological Solutions, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 May 2013 (12 years ago) |
| Entity Number: | 000-279-349 |
| Register Number: | 000279349 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 4800 WHITESPORT CIRCLE SUITE 2HUNTSVILLE, AL 35801 |
| Principal Address ZIP Code: | 35801 |
Activities
TRANSACT ANY LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831539360 | 2013-06-28 | 2013-06-28 | 4800 WHITESPORT CIR SW, SUITE 2, HUNTSVILLE, AL, 358016428, US | 4800 WHITESPORT CIR SW, SUITE 2, HUNTSVILLE, AL, 358016428, US | |||||||||||||||||||
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| Phone | +1 256-533-9393 |
| Fax | 2565339690 |
Authorized person
| Name | DR. KATIE C. LEWALLEN |
| Role | PSYCHOLOGIST |
| Phone | 2565339393 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | 1662 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEWALLEN, KATIE C | Agent | 4800 WHITESPORT CIRCLE SUITE 2HUNTSVILLE, AL 35801 |
| Name | Role | Address |
|---|---|---|
| LEWALLEN, KATIE C | Organizer | 4800 WHITESPORT CIRCLE SUITE 2HUNTSVILLE, AL 35801 |
| HARRISON, MATTHEW | Organizer | 2430 L&N DRIVEHUNTSVILLE, AL 35801 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
