| Name: | Ford Psychiatry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 Mar 2015 (10 years ago) |
| Entity Number: | 000-331-406 |
| Register Number: | 000331406 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | 6341 PICCADILLY SQUARE DRIVEMOBILE, AL 36609 |
| Principal Address ZIP Code: | 36609 |
Activities
MEDICAL FIELD OF PSYCHIATRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790177350 | 2015-02-19 | 2015-02-19 | 5701 OAKLEIGH TRACE CT, MOBILE, AL, 366933076, US | 6341 PICCADILLY SQUARE DR, MOBILE, AL, 366095103, US | |||||||||||||||||||
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| Phone | +1 513-200-5110 |
| Phone | +1 251-343-5300 |
Authorized person
| Name | DR. LISA DANITA FORD-CRAWFORD |
| Role | OWNER |
| Phone | 5132005110 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | 33371 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FORD-CRAWFORD, LISA D | Organizer | 6341 PICCADILLY SQUARE DRIVEMOBILE, AL 36609 |
| Name | Role | Address |
|---|---|---|
| FORD-CRAWFORD, LISA D | Agent | 6341 PICCADILLY SQUARE DRIVEMOBILE, AL 36609 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
