| Name: | Bayside Psychological Services LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 Jun 2009 (16 years ago) |
| Entity Number: | 000-434-944 |
| Register Number: | 000434944 |
| ZIP code: | 36526 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 11898 HALCYON LOOPDAPHNE, AL 36526 |
| Principal Address: | DAPHNE, AL |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124256789 | 2009-06-22 | 2009-06-22 | 273 AZALEA RD STE 305, MOBILE, AL, 366091970, US | 273 AZALEA RD STE 305, MOBILE, AL, 366091970, US | |||||||||||||
|
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| Phone | +1 251-599-3728 |
Authorized person
| Name | DR. JENNIFER M JACKSON |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 2515993728 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JACKSON, JENNIFER | Agent | 2150 COUNTY ROAD 17PINE HILL, AL 36769 |
| Name | Role | Address |
|---|---|---|
| JACKSON, JENNIFER | Member | 2150 COUNTY ROAD 17PINE HILL, AL 36769 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
