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
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 | |||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
WILSON, DAVID R | Agent |
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