Name: | Insight Therapy, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 08 Dec 2014 (10 years ago) |
Entity Number: | 000-324-021 |
Register Number: | 000324021 |
County: | Jefferson |
Place of Formation: | Jefferson County |
Registered Office Mailing Address: | 166 MOUNTAIN BROOK PARK DRBIRMINGHAM, AL |
Principal Address: | 300 OFFICE PARK DRIVE STE 245BIRMINGHAM, AL 35223 |
Principal Address ZIP Code: | 35223 |
Activities
PRACTICE OF PSYCHOLOGY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104200344 | 2015-07-17 | 2015-07-17 | 300 OFFICE PARK DR, MOUNTAIN BRK, AL, 352232474, US | 166 OFFICE PARK DR., ST. 245, BIRMINGHAM, AL, 35223, US | |||||||||||||||||||||||
|
Phone | +1 205-213-4199 |
Authorized person
Name | DR. ZANAIDA RUTH GRIFFIN |
Role | OWNER, CLINICAL PSYCHOLOGIST |
Phone | 2052134199 |
Taxonomy
Taxonomy Code | 103TC0700X - Clinical Psychologist |
License Number | 966 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NPI |
Number | 1801804661 |
State | AL |
Name | Role | Address |
---|---|---|
GRIFFIN, ZANAIDA R | Agent | 300 OFFICE PARK DRIVE STE 245BIRMINGHAM, AL 35223 |
Name | Role | Address |
---|---|---|
GRIFFIN, ZANAIDA R | Organizer | 300 OFFICE PARK DRIVE STE 245BIRMINGHAM, AL 35223 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State