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Alabama Therapy Center, PC

Details

Name: Alabama Therapy Center, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 29 Jan 2020 (5 years ago)
Entity Number: 000-599-445
Register Number: 000599445
County: Tuscaloosa
Place of Formation: Alabama
Principal Address: 38 SOUTHMONT DRIVETUSCALOOSA, AL 35405
Principal Address ZIP Code: 35405
Authorized Capital: 1000@NPV

Activities PROVIDE MENTAL HEALTH THERAPY FOR CHILDREN
ADOLESCENTS
& ADULT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598399776 2020-02-26 2020-02-27 38 SOUTHMONT DR, TUSCALOOSA, AL, 354054162, US 38 SOUTHMONT DR, TUSCALOOSA, AL, 354054162, US

Contacts

Phone +1 205-614-0415

Authorized person

Name CHRISTINE M CLARK
Role PRESIDENT/CEO
Phone 2056140415

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
CLARK, CHRISTINE M Agent 38 SOUTHMONT DRIVETUSCALOOSA, AL 35405

Incorporator

Name Role Address
CLARK, CHRISTINE M Incorporator 38 SOUTHMONT DRIVETUSCALOOSA, AL 35405

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State