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Huntsville Psychiatry, PC

Details

Name: Huntsville Psychiatry, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 10 Oct 2014 (10 years ago)
Entity Number: 000-320-499
Register Number: 000320499
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 201 SIVLEY ROAD SW SUITE 570HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: 1000 @ $0.10PV

Activities PRACTICE OF MEDICINE AND TO SPECIALIZE IN PSYCHIATRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992109086 2014-10-17 2014-10-17 201 SIVLEY RD SW, SUITE 570, HUNTSVILLE, AL, 358015134, US 201 SIVLEY RD SW, SUITE 570, HUNTSVILLE, AL, 358015134, US

Contacts

Phone +1 256-265-6171
Fax 2562656174

Authorized person

Name VENKATA S DEVABHAKTUNI
Role PRESIDENT
Phone 2562656171

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Agent

Name Role Address
DEVABHAKTUNI, VENKATA Agent 201 SIVLEY ROAD SW SUITE 570HUNTSVILLE, AL 35801

Director

Name Role Address
DEVABHAKTUNI, VENKATA Director 201 SIVLEY ROAD SW SUITE 570HUNTSVILLE, AL 35801

Incorporator

Name Role Address
DEVABHAKTUNI, VENKATA Incorporator 201 SIVLEY ROAD SW SUITE 570HUNTSVILLE, AL 35801

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State