| Name: | Montgomery Area Mental Health Authority, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 18 Jun 1968 (57 years ago) |
| Entity Number: | 000-775-013 |
| Register Number: | 000775013 |
| Historical Names: |
Montgomery Area Mental Health Board, Inc.
|
| ZIP code: | 36107 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 2140 UPPER WETUMPKA ROADMONTGOMERY, AL 36107 |
Activities
MENTAL HEALTH
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H5RYS5NEYGN5 | 2025-04-16 | 2140 UPPER WETUMPKA RD, MONTGOMERY, AL, 36107, 1342, USA | PO BOX 3223, MONTGOMERY, AL, 36109, 0223, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 02 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-04-18 |
| Initial Registration Date | 2008-08-21 |
| Entity Start Date | 1968-01-01 |
| Fiscal Year End Close Date | Sep 30 |
Service Classifications
| NAICS Codes | 621112, 621330, 621420, 623220, 623990, 624229 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | LAURIE HARRIS |
| Role | CHIEF OPERATIONS OFFICER |
| Address | PO 3223, MONTGOMERY, AL, 36109, 0223, USA |
| Title | ALTERNATE POC |
| Name | DONNA LESLIE |
| Role | EXECUTIVE DIRECTOR |
| Address | PO BOX 3223, MONTGOMERY, AL, 36109, 0223, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DONNA LESLIE |
| Role | EXECUTIVE DIRECTOR |
| Address | P O BOX 3223, MONTGOMERY, AL, 36109, 0223, USA |
| Title | ALTERNATE POC |
| Name | LAURIE HARRIS |
| Role | CHIEF OPERATIONS OFFICER |
| Address | PO BOX 3223, MONTGOMERY, AL, 36109, 0223, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | LAURIE HARRIS |
| Role | CHIEF OPERATIONS OFFICER |
| Address | P O BOX 3223, MONTGOMERY, AL, 36107, USA |
| Title | ALTERNATE POC |
| Name | DONNA LESLIE |
| Role | EXECUTIVE DIRECTOR |
| Address | PO BOX 3223, MONTGOMERY, AL, 36109, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487829917 | 2008-04-25 | 2008-04-25 | 101 COLISEUM BLVD, MONTGOMERY, AL, 361092707, US | 101 COLISEUM BLVD, MONTGOMERY, AL, 361092707, US | |||||||||||||||||||||||||||
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| Phone | +1 334-279-7830 |
| Fax | 3342793714 |
Authorized person
| Name | MR. WILLIAM TOMMY WRIGHT |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3342797830 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 51008123 |
| State | AL |
| Issuer | ALKIDS PLUS |
| Number | 515-11697 |
| State | AL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 56A51 | Active | Non-Manufacturer | 2008-08-22 | 2024-04-18 | 2029-04-18 | 2025-04-16 | |||||||||||||||
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| POC | DONNA LESLIE |
| Phone | +1 334-279-7830 |
| Fax | +1 334-277-8862 |
| Address | 2140 UPPER WETUMPKA RD, MONTGOMERY, AL, 36107 1342, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| PARKER, HENRY | Agent |
| Name | Role |
|---|---|
| HOOPER, PERRY O | Incorporator |
| MCCURDY, LEWIS MRS | Incorporator |
| SMITH, CHARLES M MRS | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1972-02-03 | Name Change | Montgomery Area Mental Health Board, Inc. | Montgomery Area Mental Health Authority, Inc. |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
