| Name: | M. Hope Jackson, PhD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Jun 2007 (17 years ago) (Companies founded in June 2007) |
| Entity Number: | 000-496-124 |
| Register Number: | 000496124 |
| ZIP code: | 36606 (Companies in Mobile, 36606) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 2864 DAUPHIN STREET, SUITE AMOBILE, AL 36606 |
Activities
PSYCHOLOGICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669647913 | 2008-04-28 | 2008-04-28 | 2864 DAUPHIN ST, SUITE A, MOBILE, AL, 366062479, US | 2864 DAUPHIN ST, SUITE A, MOBILE, AL, 366062479, US | |||||||||||||||||||||||||
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| Phone | +1 251-470-7607 |
| Fax | 2514707609 |
Authorized person
| Name | DR. MELANIE HOPE JACKSON |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 2514707607 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | 1369 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | TYPE 1 NPI |
| Number | 1619953726 |
| State | AL |
| Name | Role |
|---|---|
| JACKSON, M H | Agent |
| Name | Role |
|---|---|
| JACKSON, M HOPE | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
