| Name: | Monterey Psychological Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 28 Jul 2014 (11 years ago) |
| Date of dissolution: | 12 Apr 2017 |
| Entity Number: | 000-314-893 |
| Register Number: | 000314893 |
| ZIP code: | 35244 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 6059 WATERSIDE DRIVEHOOVER, AL 35244 |
| Principal Mailing Address: | 5330 STADIUM TRACE PARKWAY STE 215HOOVER, AL 35244 |
Activities
PSYCHOLOGICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922427103 | 2014-04-15 | 2014-06-24 | 5330 STADIUM TRACE PKWY, 215, HOOVER, AL, 352444525, US | 5330 STADIUM TRACE PKWY, 215, HOOVER, AL, 352444525, US | |||||||||||||||||||
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| Phone | +1 205-434-1283 |
| Fax | 8664333741 |
Authorized person
| Name | DR. AMANDA GAYLE GLOVER |
| Role | CEO AND PRESIDENT |
| Phone | 2054341283 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | 1875 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GLOVER, AMANDA G | Agent | 6059 WATERSIDE DRIVEHOOVER, AL 35244 |
| Name | Role | Address |
|---|---|---|
| GLOVER, AMANDA G | Organizer | 6059 WATERSIDE DRIVEHOOVER, AL 35244 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
