| Name: | Coastal Psychiatry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Jul 2016 (8 years ago) (Companies founded in July 2016) |
| Entity Number: | 000-368-484 |
| Register Number: | 000368484 |
| ZIP code: | 36526 (Companies in Baldwin, 36526) |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 816 MANCI AVEDAPHNE, AL 36526 |
| Registered Office Mailing Address: | P.O.BOX 962DAPHNE, AL 36526 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407390610 | 2016-12-06 | 2016-12-06 | 1026 STANTON RD, STE. A, DAPHNE, AL, 365264299, US | 1026 STANTON RD, STE. A, DAPHNE, AL, 365264299, US | |||||||||||||||||||||||||
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| Phone | +1 251-626-1182 |
Authorized person
| Name | DR. KATHRYN ANN NEY |
| Role | OWNER |
| Phone | 2516261182 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | 24015 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| License Number | 24015 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| SCULLY, WILLIAM E JR | Agent |
| Name | Role |
|---|---|
| NEY, KATHRYN | Organizer |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
