Name: | North Alabama Family Psychiatry and Counseling, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 13 Oct 2015 (9 years ago) (Companies founded in October 2015) |
Entity Number: | 000-347-183 |
Register Number: | 000347183 |
ZIP code: | 35209 (Companies in Jefferson, 35209) |
County: | Jefferson |
Place of Formation: | Jefferson County |
Registered Office Street Address: | 100 OXMOORE ROAD SUITE 110BIRMINGHAM, AL 35209 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1003368671 | 2016-10-31 | 2016-10-31 | 9238 MADISON BLVD, SUITE 750, MADISON, AL, 357589100, US | 9238 MADISON BLVD, SUITE 750, MADISON, AL, 357589100, US | |||||||||||||||||||
|
Phone | +1 256-727-8880 |
Fax | 8889517515 |
Authorized person
Name | MR. BRUCE Y PETTWAY |
Role | PRESIDENT |
Phone | 2567248880 |
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 |
---|---|---|
USCA INC | Agent | 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203 |
Name | Role | Address |
---|---|---|
MOSELEY, CHEYENNE | Organizer | 9900 SPECTRUM DRIVEAUSTIN, TX 78717 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State