| Name: | Katy Frazier, PMHNP-BC LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Apr 2021 (4 years ago) (Companies founded in April 2021) |
| Entity Number: | 000-848-086 |
| Register Number: | 000848086 |
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 212 W. Troy St. STE BDothan, AL 36303 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699444182 | 2021-09-08 | 2021-10-05 | 8215 MADISON BLVD STE 130, MADISON, AL, 357582000, US | 8215 MADISON BLVD STE 130, MADISON, AL, 357582000, US | |||||||||||||
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| Phone | +1 256-325-2500 |
Authorized person
| Name | KATY FRAZIER |
| Role | CRNP |
| Phone | 2563252500 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PARK, RILEY | Organizer | 212 W. TROY ST. STE BDOTHAN, AL 36303 |
| Name | Role | Address |
|---|---|---|
| Registered Agents Inc | Agent | 212 W. Troy St. STE BDothan, AL 36303 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
