| Name: | Gardenia Cove Mental Health, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 25 Jan 2018 (7 years ago) (Companies founded in January 2018) |
| Entity Number: | 000-507-931 |
| Register Number: | 000507931 |
| ZIP code: | 36116 (Companies in Montgomery, 36116) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 8849 CHANTILLY WAYMONTGOMEY, AL 36116 |
| Authorized Capital: | 5000 @ $1.00 PV |
Activities
ALL ASPECTS OF THE PRACTICE OF PSYCHIATRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063912301 | 2018-02-13 | 2018-02-13 | 6771 TAYLOR CIR, MONTGOMERY, AL, 361173417, US | 6771 TAYLOR CIRCLE, MONTGOMERY, AL, 36117, US | |||||||||||||||||
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| Phone | +1 334-954-6010 |
Authorized person
| Name | AMANDA JEAN WILLIAMS |
| Role | OWNER, MD |
| Phone | 3349546010 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | MD.34291 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, AMANDA J | Agent | 8849 CHANTILLY WAYMONTGOMEY, AL 36116 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, AMANDA J | Director | 8849 CHANTILLY WAYMONTGOMEY, AL 36116 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
