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Cahaba Psychiatry and Wellness, LLC

Details

Name: Cahaba Psychiatry and Wellness, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Sep 2016 (8 years ago)
Entity Number: 000-372-757
Register Number: 000372757
County: Shelby
Place of Formation: Jefferson County
Registered Office Street Address: 2016 STONEGATE TRAIL, SUITE 100VESTAVIA, AL 35242
Registered Office Street Address ZIP Code: 35242

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396285987 2017-03-01 2017-03-01 4268 CAHABA HEIGHTS CT STE 110, VESTAVIA, AL, 352435711, US 4268 CAHABA HEIGHTS CT STE 110, VESTAVIA, AL, 352435711, US

Contacts

Phone +1 205-504-4290

Authorized person

Name DR. CHRISTINA C. SMITH
Role SOLE PROPRIETOR
Phone 2055044290

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
License Number 25555
State AL
Is Primary Yes

Organizer

Name Role Address
BYRD, DONNA KNOTTS Organizer 2227 FIRST AVENUE S STE 100BIRMINGHAM, AL 35233

Agent

Name Role
SMITH, CHRISTINA C Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State