Search icon

Tri-County Psychiatric Services, LLC

Details

Name: Tri-County Psychiatric Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Oct 2012 (12 years ago)
Entity Number: 000-268-582
Register Number: 000268582
Historical Names: EYOB TESSEMA, M.D., LLC
ZIP code: 36303
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 200 PARKWEST CIRCLE SUITE 2DOTHAN, AL 36303

Activities PRACTICE OF PSYCHIATRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467706879 2012-11-07 2012-11-07 557 GLOVER AVE, SUITE 1, ENTERPRISE, AL, 363302024, US 557 GLOVER AVE, SUITE 1, ENTERPRISE, AL, 363302024, US

Contacts

Phone +1 334-347-7705
Fax 3343477715

Authorized person

Name DR. EYOB HAILU TESSEMA
Role SOLE OWNER
Phone 3343477705

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
State AL
Is Primary Yes

Agent

Name Role Address
ARMSTRONG, BENJAMIN S Agent 200 GROVE PARK LN STE 670DOTHAN, AL 36305

Member

Name Role
TESSEMA, EYOB Member

Organizer

Name Role Address
ARMSTRONG, BENJAMIN S Organizer 200 GROVE PARK LN STE 670DOTHAN, AL 36305

Events

Event Date Event Type Old Value New Value
2012-10-31 Name Change EYOB TESSEMA, M.D., LLC Tri-County Psychiatric Services, LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State