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 |
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 | |||||||||||||
|
Phone | +1 205-210-8414 |
Authorized person
Name | DR. CAITLIN CLEVENGER |
Role | CLINICAL PSYCHOLOGIST |
Phone | 2052108414 |
Taxonomy
Taxonomy Code | 103T00000X - Psychologist |
Is Primary | Yes |
Name | Role |
---|---|
Clevenger, Caitlin | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State