Name: | Synchronicity Mental Health Services, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Dissolved |
Date of registration: | 18 Feb 2010 (15 years ago) |
Date of dissolution: | 10 Nov 2011 |
Entity Number: | 000-443-580 |
Register Number: | 000443580 |
ZIP code: | 36360 |
County: | Dale |
Place of Formation: | Dale County |
Principal Address: | OZARK, AL |
Registered Office Street Address: | 123 EMERALD COURTOZARK, AL 36360 |
Activities
PROVIDE MENTAL HEALTH SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1790007011 | 2010-03-01 | 2010-03-01 | 468 PHILLIPS RD, COTTONWOOD, AL, 363204248, US | 468 PHILLIPS RD, COTTONWOOD, AL, 363204248, US | |||||||||||||||||
|
Phone | +1 334-648-6867 |
Authorized person
Name | STARLA RAIBORN |
Role | CEO |
Phone | 3346486867 |
Taxonomy
Taxonomy Code | 103TC0700X - Clinical Psychologist |
License Number | 962 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
RAIBORN, STARLA SIRMINS | Agent |
Name | Role |
---|---|
RAIBORN, STARLA SIRMONS | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State