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Psychological Associates, LLC

Details

Name: Psychological Associates, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 07 Jun 2001 (23 years ago)
Date of dissolution: 15 Aug 2017
Entity Number: 000-675-963
Register Number: 000675963
County: Lee
Place of Formation: Lee County
Principal Address: AUBURN, AL
Registered Office Street Address: 621 BURKE PLACEAUBURN, AL 36830
Registered Office Street Address ZIP Code: 36830

Activities PSYCHOLOGY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639277593 2006-09-21 2020-08-22 1915 PROFESSIONAL CIR, AUBURN, AL, 368302852, US 1915 PROFESSIONAL CIR, AUBURN, AL, 368302852, US

Contacts

Phone +1 334-826-1699
Fax 3348261629

Authorized person

Name MS. STEPHANIE D GLIDEWELL
Role OFFICE MANAGER
Phone 3348261699

Taxonomy

Taxonomy Code 103T00000X - Psychologist
Is Primary Yes

Member

Name Role
SMITH, BRIDGET Member

Agent

Name Role
SMITH, BRIDGET Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State