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Psychotherapy Services of Alabama LLC

Details

Name: Psychotherapy Services of Alabama LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Dec 2022 (2 years ago) (Companies founded in December 2022)
Entity Number: 001-054-317
Register Number: 001054317
ZIP code: 35071 (Companies in Jefferson, 35071)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 1355 Woodridge PlGardendale, AL 35071

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598452450 2023-04-20 2023-04-20 1355 WOODRIDGE PL, GARDENDALE, AL, 350711149, US 1355 WOODRIDGE PL, GARDENDALE, AL, 350711149, US

Contacts

Phone +1 205-210-8414

Authorized person

Name DR. CAITLIN CLEVENGER
Role CLINICAL PSYCHOLOGIST
Phone 2052108414

Taxonomy

Taxonomy Code 103T00000X - Psychologist
Is Primary Yes

Agent

Name Role
Clevenger, Caitlin Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State