| Name: | Madison Psychiatry Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 May 2022 (3 years ago) |
| Entity Number: | 001-019-455 |
| Register Number: | 001019455 |
| ZIP code: | 35758 |
| County: | Madison |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 3776 Sullivan Street Suite JMadison, AL 35758 |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | Madison Psychiatry Services, LLC, MINNESOTA | 8a0a1bd2-8f42-ef11-9085-00155d01c440 | MINNESOTA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588302483 | 2022-05-22 | 2024-09-27 | 953 JEFF RD NW BLDG 1, HUNTSVILLE, AL, 358061237, US | 540 HUGHES RD STE 11, MADISON, AL, 357588959, US | |||||||||||||||||||
|
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| Phone | +1 256-332-6272 |
| Fax | 2563224987 |
| Phone | +1 256-482-6868 |
| Fax | 2562164606 |
Authorized person
| Name | HEIDI KRISTINE HOLLINGER |
| Role | OWNER |
| Phone | 9856402614 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Legal Journeys LLC | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
