Name: | North Alabama Psychiatric Associates, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 03 Sep 2015 (9 years ago) |
Entity Number: | 000-344-465 |
Register Number: | 000344465 |
County: | Madison |
Place of Formation: | Madison County |
Registered Office Street Address: | 203 TEA ROSE COURTMADISON, AL 35758 |
Registered Office Street Address ZIP Code: | 35758 |
Authorized Capital: | 1M @ $0.01 PV |
Activities
PRACTICE OF MEDICINE & SPECIALIZE PRACTICE OF PSYCHIATRIC SERVS
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326495482 | 2016-05-18 | 2016-05-18 | 953 JEFF RD NW, HUNTSVILLE, AL, 358061237, US | 953 JEFF RD NW, HUNTSVILLE, AL, 358061237, US | |||||||||||||||||||
|
Phone | +1 256-322-6272 |
Fax | 2563224987 |
Authorized person
Name | DR. HEATH R PENLAND |
Role | MEDICAL DIRECTOR |
Phone | 2563226272 |
Taxonomy
Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
Is Primary | Yes |
Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
Is Primary | No |
Name | Role | Address |
---|---|---|
PENLAND, HEATH R | Agent | 203 TEA ROSE COURTMADISON, AL 35758 |
Name | Role | Address |
---|---|---|
PENLAND, HEATH ROBERT | Director | 203 TEA ROSE COURTMADISON, AL 35758 |
Name | Role | Address |
---|---|---|
PENLAND, HEATH R | Incorporator | 203 TEA ROSE COURTMADISON, AL 35758 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State