| Name: | ImPact Behavioral Services, Inc |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 26 Jun 2006 (18 years ago) (Companies founded in June 2006) |
| Entity Number: | 000-564-060 |
| Register Number: | 000564060 |
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | DOTHAN, AL |
| Registered Office Street Address: | 114 ADRIS PLACEDOTHAN, AL 36303 |
Activities
YOUTH/ADULT EDUCATION/BEHAVIORAL MANAGEMENT/LIFE COACHING/SKILLS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891097457 | 2010-12-02 | 2010-12-02 | 256 HONEYSUCKLE RD STE 10, DOTHAN, AL, 363051168, US | 256 HONEYSUCKLE RD., DOTHAN, AL, 363051168, US | |||||||||||||
|
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| Phone | +1 334-797-2718 |
Authorized person
| Name | ALINE M MAYS-EASLEY |
| Role | THERAPSIT |
| Phone | 3347972718 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MAYS, ALINE | Agent |
| Name | Role |
|---|---|
| MAYS, ALINE | Incorporator |
| EASLEY, JOSEPH L | Incorporator |
| WILBUR, TARA | Incorporator |
| MOULTON, CAROL | Incorporator |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
