| Name: | Smith Psychiatry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Jul 2021 (3 years ago) |
| Entity Number: | 000-872-612 |
| Register Number: | 000872612 |
| County: | Shelby |
| Place of Formation: | Alabama |
| Principal Address: | 2236 CAHABA VALLEY DR STE 206ABIRMINGHAM, AL 35242-7381 |
| Principal Mailing Address: | 1900 CORPORATE DR #382645BIRMINGHAM, AL 35238-2645 |
| Registered Office Street Address: | 6207 Retreat CirBirmingham, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366014508 | 2021-07-16 | 2022-07-03 | PO BOX 382645, BIRMINGHAM, AL, 352382645, US | 2236 CAHABA VALLEY DR STE 206A, BIRMINGHAM, AL, 352422679, US | |||||||||||||||||||||||
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| Phone | +1 205-583-6661 |
| Fax | 6173622499 |
Authorized person
| Name | PHILLIP SMITH |
| Role | OWNER |
| Phone | 2055836661 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Smith, Phillip | Agent | 5000 Whitesburg Dr Suite 104Huntsville, AL 35802 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
