| Name: | Antonio Psychology Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Aug 2013 (11 years ago) |
| Entity Number: | 000-285-157 |
| Register Number: | 000285157 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 3516 VANN ROAD SUITE 105-BBIRMINGHAM, AL 35235 |
| Principal Address ZIP Code: | 35235 |
| Registered Office Street Address: | 3516 VANN ROAD SUITE 104-BBIRMINGHAM, AL 35235 |
| Registered Office Street Address ZIP Code: | 35235 |
Activities
PSYCHOLOGY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659706216 | 2013-09-13 | 2013-09-13 | 3516 VANN RD, SUITE 104-B, BIRMINGHAM, AL, 352353275, US | 3516 VANN RD, SUITE 104-B, BIRMINGHAM, AL, 352353275, US | |||||||||||||||||
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| Phone | +1 205-612-0707 |
Authorized person
| Name | ANDREA M ANTONIO |
| Role | MANAGER/OWNER |
| Phone | 2056120707 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | 1707 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANTONIO, ANDREA | Agent | 3516 VANN ROAD SUITE 104-BBIRMINGHAM, AL 35235 |
| Name | Role | Address |
|---|---|---|
| ANTONIO, ANDREA | Organizer | 3516 VANN ROAD SUITE 104-BBIRMINGHAM, AL 35235 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
