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Huntsville Child Psychiatry, LLC

Details

Name: Huntsville Child Psychiatry, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 14 Apr 2023 (2 years ago) (Companies founded in April 2023)
Entity Number: 001-074-401
Register Number: 001074401
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 200 CLINTON AVENUE W, SUITE 508HUNTSVILLE, AL 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891568408 2023-11-06 2023-11-06 604 DAVIS CIR SW, HUNTSVILLE, AL, 358015014, US 604 DAVIS CIR SW, HUNTSVILLE, AL, 358015014, US

Contacts

Phone +1 256-634-6932
Fax 2562907351

Authorized person

Name EMILY KANE
Role PRESIDENT
Phone 2566346932

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Agent

Name Role Address
MCCARTHA LAW, LLC Agent 100 JEFFERSON ST S SUITE 200HUNTSVILLE, AL 35801

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State