| Name: | Beacon Psychological Services, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 29 Dec 1998 (26 years ago) |
| Entity Number: | 000-199-839 |
| Register Number: | 000199839 |
| ZIP code: | 35209 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 1200 BEACON PARKWAY EAST STE 311BIRMINGHAM, AL 35209 |
| Authorized Capital: | $100 |
Activities
PSYCHOTHERAPY/CONSULTATION/SUPERVISION
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205904836 | 2006-12-01 | 2007-07-30 | 600 BEACON PARKWAY WEST, SUITE 850, BIRMINGHAM, AL, 35210, US | 600 BEACON PKWY W, SUITE 850, BIRMINGHAM, AL, 352093120, US | |||||||||||||||||||
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| Phone | +1 205-945-1550 |
| Fax | 2059451260 |
Authorized person
| Name | SAMANTHA RYAN |
| Role | OFFICE MANAGER |
| Phone | 2059451550 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | 848 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMITH, WILLIAM H | Agent | 95 CO RD 817CEDAR BLUFF, AL 35959 |
| Name | Role | Address |
|---|---|---|
| SMITH, WILLIAM H | Incorporator | 95 CO RD 817CEDAR BLUFF, AL 35959 |
| SMITH, MEREDITH T | Incorporator | No data |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
