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Red Mountain Psychiatry, L.L.C.

Details

Name: Red Mountain Psychiatry, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 16 Aug 2024 (3 months ago) (Companies founded in August 2024)
Entity Number: 001-150-048
Register Number: 001150048
ZIP code: 35062 (Companies in Jefferson, 35062)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 704 The TraceJasper, AL 35504
Principal Address: 7130 Sellers RoadDora, AL 35062

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508698473 2024-08-19 2024-08-19 7130 SELLERS RD, DORA, AL, 350622409, US 3690 GRANDVIEW PKWY, BIRMINGHAM, AL, 352433326, US

Contacts

Phone +1 205-937-3948

Authorized person

Name EDWARD AUSTIN TUCKER
Role CEO
Phone 2059373948

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Agent

Name Role
Tucker, Edward A Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State