| Name: | Psychiatry 280 Counseling Services, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 14 May 2015 (9 years ago) |
| Entity Number: | 000-335-746 |
| Register Number: | 000335746 |
| County: | Shelby |
| Place of Formation: | Jefferson County |
| Registered Office Mailing Address: | PO BOX 430223CAHABA HEIGHTS, AL 35243 |
| Registered Office Mailing Address ZIP Code: | 35243 |
| Registered Office Street Address: | 3072 SUNVIEW DRIVECAHABA HEIGHTS, AL 35243 |
| Registered Office Street Address ZIP Code: | 35243 |
| Principal Address: | 5479 U.S. 280 #114BIRMINGHAM, AL 35242 |
| Principal Address ZIP Code: | 35242 |
| Authorized Capital: | 1000 @ $1.00 PV |
Activities
COUNSELING SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285019927 | 2015-07-23 | 2018-03-15 | 2803 GREYSTONE COMMERCIAL BLVD STE 12, BIRMINGHAM, AL, 352429603, US | 2803 GREYSTONE COMMERCIAL BLVD STE 12, BIRMINGHAM, AL, 352429603, US | |||||||||||||||||||
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| Phone | +1 205-968-1227 |
| Fax | 2059681229 |
Authorized person
| Name | LANE GOULD-HARTLINE |
| Role | PROVIDER/OWNER |
| Phone | 2059681227 |
Taxonomy
| Taxonomy Code | 364SP0808X - Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | 1048511 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROTHERS, ANGELA | Agent | 2913 PUMP HOUSE ROADMOUNTAIN BROOK, AL 35243 |
| Name | Role | Address |
|---|---|---|
| GOULD-HARTLINE, LANE | Incorporator | 5479 U.S. 280 #114BIRMINGHAM, AL 35242 |
| Name | Role | Address |
|---|---|---|
| GOULD-HARTLINE, LANE | Director | 5479 U.S. 280 #114BIRMINGHAM, AL 35242 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
