| Name: | Crosswalk Psychological Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Mar 2016 (9 years ago) |
| Entity Number: | 000-357-418 |
| Register Number: | 000357418 |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 2312 CORE DRIVEAUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780036129 | 2016-07-11 | 2016-07-11 | 2312 CORE DR, AUBURN, AL, 368309416, US | 310 24TH ST, OPELIKA, AL, 368016248, US | |||||||||||||||||
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| Phone | +1 334-744-3694 |
Authorized person
| Name | DR. THOMAS MAPLE |
| Role | OWNER |
| Phone | 3347443694 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 1079 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MAPLE, THOMAS S | Agent |
| Name | Role | Address |
|---|---|---|
| BALCH, RUSSELL C | Organizer | AKRIDGE & BALCH PCAUBURN, AL 36830 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
