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Kelley Wilson Psychological Services, LLC

Details

Name: Kelley Wilson Psychological Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 May 2024 (6 months ago) (Companies founded in May 2024)
Entity Number: 001-135-025
Register Number: 001135025
ZIP code: 36532 (Companies in Baldwin, 36532)
County: Baldwin
Place of Formation: Alabama
Registered Office Street Address: 244 Falls Creek StFairhope, AL 36532

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336989912 2024-05-30 2024-05-30 PO BOX 650, FAIRHOPE, AL, 365330650, US 25833 STATE HIGHWAY 181, DAPHNE, AL, 365266101, US

Contacts

Phone +1 251-551-9470

Authorized person

Name KELLEY WILSON
Role PSYCHOLOGIST
Phone 2515519470

Taxonomy

Taxonomy Code 103T00000X - Psychologist
Is Primary Yes

Agent

Name Role
Wilson, John E Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State