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Madison Psychiatry Services, LLC

Headquarter

Details

Name: Madison Psychiatry Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 May 2022 (3 years ago)
Entity Number: 001-019-455
Register Number: 001019455
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 3776 Sullivan Street Suite JMadison, AL 35758
Registered Office Street Address ZIP Code: 35758

Links between entities

Type Company Name Company Number State
Headquarter of Madison Psychiatry Services, LLC 8a0a1bd2-8f42-ef11-9085-00155d01c440 MINNESOTA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588302483 2022-05-22 2022-06-27 953 JEFF RD NW BLDG 1, HUNTSVILLE, AL, 358061237, US 953 JEFF RD NW BLDG 1, HUNTSVILLE, AL, 358061237, US

Contacts

Phone +1 256-332-6272
Fax 2563224987

Authorized person

Name HEIDI KRISTINE HOLLINGER
Role OWNER
Phone 9856402614

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role
Legal Journeys LLC Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State