Search icon

Emily Gibson Psychological & Behavioral Services, LLC.

Details

Name: Emily Gibson Psychological & Behavioral Services, LLC.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 26 Dec 2023 (a year ago) (Companies founded in December 2023)
Entity Number: 001-113-170
Register Number: 001113170
Place of Formation: Alabama
Registered Office Street Address: 1501 PRATT AVE NEHuntsville, AL 35801-2430

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689405631 2024-08-12 2024-08-12 185 CHATEAU DR SW STE 102, HUNTSVILLE, AL, 358017415, US 185 CHATEAU DR SW STE 102, HUNTSVILLE, AL, 358017415, US

Contacts

Phone +1 256-489-1583
Fax 2564891595

Authorized person

Name EMILY GIBSON
Role OWNER / PSYCHOLOGIST
Phone 2564891583

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary No
Taxonomy Code 103T00000X - Psychologist
Is Primary Yes

Agent

Name Role
Gibson, Emily N Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State