| Name: | Southeast Psychiatry Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Jan 2021 (4 years ago) |
| Entity Number: | 000-827-393 |
| Register Number: | 000827393 |
| County: | Montgomery |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 182 Boykin Lakes LoopPike Road, AL 36064 |
| Registered Office Street Address ZIP Code: | 36064 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467040410 | 2021-01-05 | 2021-01-22 | 182 BOYKIN LAKES LOOP, PIKE ROAD, AL, 360643961, US | 182 BOYKIN LAKES LOOP, PIKE ROAD, AL, 360643961, US | |||||||||||||
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| Phone | +1 706-315-7478 |
Authorized person
| Name | KRISTY SAVAGE |
| Role | PARTNER |
| Phone | 7063157478 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Pruett, Michael Pruett | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
