| Name: | Burge Psychological Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Nov 2016 (8 years ago) |
| Entity Number: | 000-382-428 |
| Register Number: | 000382428 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 201 ASHTON AVENUETRUSSVILLE, AL 35173 |
| Registered Office Street Address ZIP Code: | 35173 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225650609 | 2020-05-08 | 2020-05-08 | 2 RIVERCHASE OFFICE PLZ STE 115, HOOVER, AL, 352442810, US | 2 RIVERCHASE OFFICE PLZ STE 115, HOOVER, AL, 352442810, US | |||||||||||||||
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| Phone | +1 205-403-0955 |
| Fax | 2054030956 |
Authorized person
| Name | DR. MARK HAROLD BURGE |
| Role | OWNER |
| Phone | 2054030955 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BURGE, MARK H | Agent |
| Name | Role |
|---|---|
| BURGE, MARK H | Organizer |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
