Search icon

ADHD Medical Clinic of Mobile, PC

Details

Name: ADHD Medical Clinic of Mobile, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 27 Mar 2013 (12 years ago)
Entity Number: 000-073-635
Register Number: 000073635
ZIP code: 36606
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 2651 OLD SHELL ROADMOBILE, AL 36606
Authorized Capital: 10,000 @ $0.01P

Activities PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629411731 2013-04-09 2024-05-15 2651 OLD SHELL RD, MOBILE, AL, 366072929, US 2651 OLD SHELL RD, MOBILE, AL, 366072929, US

Contacts

Phone +1 251-243-7058

Authorized person

Name CHARLOTTE WALL
Role PRACTICE MANAGER
Phone 2512437058

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 22050
State AL
Is Primary Yes

Director

Name Role Address
INGE, FRANCES KATHLEEN Director 2404 SPRINGHILL AVENUE UNIT 114MOBILE, AL 36607

Incorporator

Name Role Address
RICCIO, ROBERT J Incorporator 11 N WATER STREET SUITE 30200MOBILE, AL 36601

Agent

Name Role
WESTBROOK, ALMAND J JR Agent

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9810457003 2020-04-09 0459 PPP 2651 OLD SHELL RD, MOBILE, AL, 36607
Loan Status Date 2021-07-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 79900
Loan Approval Amount (current) 79900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 67422
Servicing Lender Name First Horizon Bank
Servicing Lender Address 165 Madison Ave, MEMPHIS, TN, 38103-2723
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address MOBILE, MOBILE, AL, 36607-1101
Project Congressional District AL-01
Number of Employees 10
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 78586
Originating Lender Name IberiaBank, A Division of First Horizon Bank
Originating Lender Address Lafayette, LA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 80836.61
Forgiveness Paid Date 2021-06-17

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State