Name: | Psychological Assessment Center, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Limited Liability Company |
Status: | Exists |
Date of registration: | 05 Aug 2015 (9 years ago) (Companies founded in August 2015) |
Entity Number: | 000-341-513 |
Register Number: | 000341513 |
ZIP code: | 36830 (Companies in Lee, 36830) |
County: | Lee |
Place of Formation: | Lee County |
Registered Office Street Address: | 852 N. DEAN ROAD, SUITE 100AUBURN, AL 36830 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1942677513 | 2015-08-29 | 2015-08-29 | 3320 SKYWAY DR, #801, OPELIKA, AL, 368017137, US | 3320 SKYWAY DR, #801, OPELIKA, AL, 368017137, US | |||||||||||||||||||
|
Phone | +1 334-742-9102 |
Fax | 3347429103 |
Authorized person
Name | POLLY BLAKE DUNN |
Role | PARTNER |
Phone | 3347429102 |
Taxonomy
Taxonomy Code | 103TC0700X - Clinical Psychologist |
License Number | 1041 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BALCH, RUSSELL C | Agent | AKRIDGE & BALCH PCAUBURN, AL 36830 |
Name | Role | Address |
---|---|---|
BALCH, RUSSELL C | Organizer | AKRIDGE & BALCH PCAUBURN, AL 36830 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State