Search icon

Psychiatric Services LLC

Details

Name: Psychiatric Services LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Feb 2015 (10 years ago)
Entity Number: 000-327-145
Register Number: 000327145
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 7910 SOUTH MEMORIAL PKWY SUITE AHUNTSVILLE, AL 35802
Registered Office Street Address ZIP Code: 35802

Activities NOT PROVIDED

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972982460 2015-05-29 2015-05-29 7910 MEMORIAL PKWY SW STE A, HUNTSVILLE, AL, 358022260, US 7910 MEMORIAL PKWY SW STE A, HUNTSVILLE, AL, 358022260, US

Contacts

Phone +1 256-469-7924
Fax 2562883112

Authorized person

Name MR. STEPHAN CIESZKOWSKI
Role OFFICE MANAGER
Phone 2566567446

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
License Number 22335
State AL
Is Primary Yes

Agent

Name Role Address
CIESZKOWSKI, ROZA Agent 2061 DUG HILL RDBROWNSBORO, AL 35741

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State