| Name: | Rudolph Bolling Psychiatry, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 16 May 2014 (11 years ago) (Companies founded in May 2014) |
| Entity Number: | 000-310-124 |
| Register Number: | 000310124 |
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 201 BEACON PARKWAY W SUITE 201BIRMINGHAM, AL 35209 |
Activities
PROVISION OF PSYCHIATRIC COUNSELING & MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902216203 | 2014-05-07 | 2014-05-07 | 201 BEACON PKWY W STE 201, BIRMINGHAM, AL, 352093129, US | 201 BEACON PKWY W STE 201, BIRMINGHAM, AL, 352093129, US | |||||||||||||||||
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| Phone | +1 615-828-1402 |
Authorized person
| Name | BRANDI J RUDOLPH BOLLING |
| Role | PSYCHIATRIST/ OWNER |
| Phone | 6158281402 |
Taxonomy
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| License Number | 30986 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOLLING, BRANDI R | Agent | 201 BEACON PARKWAY W SUITE 201BIRMINGHAM, AL 35209 |
| Name | Role | Address |
|---|---|---|
| BOLLING, BRANDI RUDOLPH | Director | 201 BEACON PARKWAY W SUITE 201BIRMINGHAM, AL 35209 |
| Name | Role | Address |
|---|---|---|
| BOLLING, BRANDI R | Incorporator | 201 BEACON PARKWAY W SUITE 201BIRMINGHAM, AL 35209 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
