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Southeast Psychiatry Services, LLC

Details

Name: Southeast Psychiatry Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 05 Jan 2021 (4 years ago) (Companies founded in January 2021)
Entity Number: 000-827-393
Register Number: 000827393
ZIP code: 36064 (Companies in Montgomery, 36064)
County: Montgomery
Place of Formation: Alabama
Registered Office Street Address: 182 Boykin Lakes LoopPike Road, AL 36064

National Provider Identifier

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

Contacts

Phone +1 706-315-7478

Authorized person

Name KRISTY SAVAGE
Role PARTNER
Phone 7063157478

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Agent

Name Role
Pruett, Michael Pruett Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State