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Wellcare Psychiatric Associates, LLC

Details

Name: Wellcare Psychiatric Associates, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 17 Feb 2015 (10 years ago) (Companies founded in February 2015)
Date of dissolution: 09 Nov 2018
Entity Number: 000-329-048
Register Number: 000329048
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2018 BROOKWOOD MED CTR DR STE 311BIRMINGHAM, AL 35209
Registered Office Mailing Address: 1483 SCOUT TRCEHOOVER, AL 35244

Activities NOT PROVIDED

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518358241 2015-02-17 2015-02-18 2018 BROOKWOOD MEDICAL CTR DR, PROFESSIONAL OFFICE BUILDING, SUITE 311, BIRMINGHAM, AL, 352096898, US 2018 BROOKWOOD MEDICAL CTR DR, PROFESSIONAL OFFICE BUILDING, SUITE 311, BIRMINGHAM, AL, 352096898, US

Contacts

Phone +1 205-329-7805
Fax 2053297806

Authorized person

Name PADMAVATHY NATARAJ
Role OWNER
Phone 2053297805

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Agent

Name Role
NATARAJ, PADMAVATHY Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State