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River Region Psychiatry Associates, L.L.C.

Headquarter

Details

Name: River Region Psychiatry Associates, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 16 Jul 2008 (16 years ago)
Entity Number: 000-422-562
Register Number: 000422562
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 233 WINTON BLOUNT LOOPMONTGOMERY, AL 36117
Registered Office Street Address ZIP Code: 36117

Activities PROFESSIONAL PSYCHIATRIC SERVICES

Links between entities

Type Company Name Company Number State
Headquarter of River Region Psychiatry Associates, L.L.C. 1316863 KENTUCKY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386891497 2008-08-20 2023-10-13 233 WINTON BLOUNT LOOP, MONTGOMERY, AL, 36117, US 233 WINTON BLOUNT LOOP, MONTGOMERY, AL, 36117, US

Contacts

Phone +1 334-270-5502

Authorized person

Name SHANKAR B YALAMANCHILI
Role OWNER
Phone 3342073188

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
License Number 26652
State AL
Is Primary Yes

Other Provider Identifiers

Issuer TAX ID#
Number =========
State AL

Member

Name Role Address
YALAMANCHILI, SHANKAR Member 233 WINTON M BLOUNT LOOPMONTGOMERY, AL 36117

Agent

Name Role Address
YALAMANCHILI, SHANKAR Agent 233 WINTON M BLOUNT LOOPMONTGOMERY, AL 36117

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State