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Adult & Adolescent Psychology Associates, LLC

Details

Name: Adult & Adolescent Psychology Associates, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 20 Jul 2004 (20 years ago) (Companies founded in July 2004)
Date of dissolution: 24 Oct 2012
Entity Number: 000-453-620
Register Number: 000453620
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2000-A SOUTHBRIDGE PKWY STE 406BIRMINGHAM, AL 35209

Activities PROVIDE PSYCHOTHERAPY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912073354 2006-11-28 2009-09-24 1800 PROVIDENCE PARK, SUITE 250, BIRMINGHAM, AL, 352424697, US 1800 PROVIDENCE PARK, SUITE 250, BIRMINGHAM, AL, 352424697, US

Contacts

Phone +1 205-995-1129
Fax 2059490695
Fax 2059490965

Authorized person

Name DR. RICHARD EDISON BETH
Role PSYCHOLOGIST
Phone 2059951129

Taxonomy

Taxonomy Code 103TC1900X - Counseling Psychologist
License Number 07004036
State AL
Is Primary Yes

Member

Name Role
HAUSER, TIFFANY PURTLE Member
BETH, RICHARD EDISON Member
COLEMAN, LEE MURPHEY Member

Agent

Name Role
BETH, RICHARD EDISON Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State