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Gadsden Psychological Services, L.L.C.

Details

Name: Gadsden Psychological Services, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Aug 2002 (22 years ago)
Entity Number: 000-683-944
Register Number: 000683944
County: Etowah
Place of Formation: Etowah County
Registered Office Street Address: 715 WALNUT STGADSDEN, AL 35901
Registered Office Street Address ZIP Code: 35901
Principal Address: GADSDEN, AL

Activities PSYCHOLOGICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437299179 2007-02-08 2020-08-22 715 WALNUT ST, GADSDEN, AL, 359014138, US 715 WALNUT ST, GADSDEN, AL, 359014138, US

Contacts

Phone +1 256-543-1544
Fax 2565431508

Authorized person

Name JUNE ALLEN NICHOLS
Role PSYCHOLOGIST MANAGER
Phone 2565431544

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 103T00000X - Psychologist
Is Primary No
Taxonomy Code 104100000X - Social Worker
Is Primary No

Agent

Name Role
WILSON, DAVID R Agent

Member

Name Role
WILSON, DAVID R Member
NICHOLS, JUNE A Member
NELSON, JEANNE Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State