| Name: | Gulf Coast Psychiatry LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Apr 2015 (10 years ago) |
| Entity Number: | 000-332-735 |
| Register Number: | 000332735 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 5319 HWY 90 W STE 102 PMB 148MOBILE, AL 36619 |
| Registered Office Street Address ZIP Code: | 36619 |
Activities
NOT PROVIDED
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538529250 | 2016-02-24 | 2016-02-24 | 273 AZALEA RD OFC PARK, STE. 302, MOBILE, AL, 366091970, US | 273 AZALEA RD OFC PARK, STE. 302, MOBILE, AL, 366091970, US | |||||||||||||||||||||||||
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| Phone | +1 251-343-8373 |
| Fax | 2513433565 |
Authorized person
| Name | SERA K COX |
| Role | PSYCHIATRIST |
| Phone | 2513438373 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | 34215 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | TYPE 1 NPI |
| Number | 1497959100 |
| State | AL |
| Name | Role |
|---|---|
| COX, SERA K | Agent |
| Name | Role |
|---|---|
| COX, SERA KATHERINE | Organizer |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
