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River Region Psychiatry, LLC

Details

Name: River Region Psychiatry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Feb 2015 (10 years ago)
Entity Number: 000-327-629
Register Number: 000327629
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 233 WINTON BLOUNT LOOPMONTGOMERY, AL 36117
Registered Office Street Address ZIP Code: 36117

Activities NOT PROVIDED

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285013318 2015-05-21 2019-03-29 7085 SYDNEY CURV, MONTGOMERY, AL, 361173509, US 7085 SYDNEY CURV, MONTGOMERY, AL, 361173509, US

Contacts

Phone +1 334-270-5502
Fax 3342705503

Authorized person

Name JULIE TAYLOR
Role CREDENTIALING COORDINATOR
Phone 3342705502

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RIVER REGION PSYCHIATRY 401(K) PLAN 2018 473006363 2019-10-15 RIVER REGION PSYCHIATRY, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621112
Sponsor’s telephone number 3342705502
Plan sponsor’s address 7085 SYDNEY CURVE, MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing MS. KRISTY SAVAGE
RIVER REGION PSYCHIATRY 401(K) PLAN 2017 473006363 2018-08-09 RIVER REGION PSYCHIATRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621112
Sponsor’s telephone number 3342705502
Plan sponsor’s address 7085 SYDNEY CURVE, MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2018-08-09
Name of individual signing MS. KRISTY SAVAGE

Agent

Name Role
WILSON, JENAH Agent

Organizer

Name Role Address
JOHNSON, D KYLE Organizer 150 S PERRY STMONTGOMERY, AL 36104

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State