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Behavioral Services, Inc

Details

Name: Behavioral Services, Inc
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Dissolved
Date of registration: 06 Mar 2006 (19 years ago)
Date of dissolution: 11 Apr 2008
Entity Number: 000-563-360
Register Number: 000563360
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 115 WHOLESALE AVE STE FHUNTSVILLE, AL 35811
Registered Office Street Address ZIP Code: 35811

Activities COMMUNITY/MENTAL HEALTH/COUNSELING SERVICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841208980 2006-08-04 2020-08-22 115 WHOLESALE AVE NE, STE F, HUNTSVILLE, AL, 358111517, US 115 WHOLESALE AVE NE, STE F, HUNTSVILLE, AL, 358111517, US

Contacts

Phone +1 256-489-4630
Fax 2564894634

Authorized person

Name MR. RONALD WAYNE ASHLEY
Role ECECUTIVE DIRECTOR
Phone 2564894630

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
License Number 277
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BLUECROSS-BLUESHIELD
Number 515-29399
State AL
Issuer AETNA
Number 7351719
State AL

Agent

Name Role
ASHLEY, RONALD Agent

Incorporator

Name Role
ASHLEY, RONALD Incorporator
SALES, ROSLYN Incorporator

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State