| Name: | Dr. Fletcher Hamilton, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 29 Oct 2009 (15 years ago) |
| Date of dissolution: | 28 Jul 2021 |
| Entity Number: | 000-439-911 |
| Register Number: | 000439911 |
| ZIP code: | 35209 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 1 INDEPENDENCE PLACE STE 716BIRMINGHAM, AL 35209 |
Activities
PSYCHOLOGICAL/COUNSELING SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659645950 | 2012-03-05 | 2012-05-03 | 1 INDEPENDENCE PLZ, SUITE 716, BIRMINGHAM, AL, 352092629, US | 1 INDEPENDENCE PLZ, SUITE 716, BIRMINGHAM, AL, 352092629, US | |||||||||||||||||||||||||
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| Phone | +1 205-871-0031 |
| Fax | 2058031280 |
Authorized person
| Name | DR. CLARENCE FLETCHER HAMILTON |
| Role | OWNER |
| Phone | 2058710031 |
Taxonomy
| Taxonomy Code | 305S00000X - Point of Service |
| License Number | 278 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PTAN |
| Number | 000070564 |
| State | AL |
| Name | Role |
|---|---|
| HAMILTON, FLETCHER | Agent |
| Name | Role |
|---|---|
| HAMILTON, FLETCHER | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
