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Christopher Adams Bloom, Inc.

Details

Name: Christopher Adams Bloom, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 30 Dec 2005 (19 years ago)
Entity Number: 000-244-869
Register Number: 000244869
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 333 FRANKLIN AVENUE SE STE 100HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $100

Activities MENTAL HEALTH CARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558495564 2007-03-14 2020-08-22 333 FRANKLIN ST SE, SUITE 100, HUNTSVILLE, AL, 358014258, US 333 FRANKLIN ST SE, SUITE 100, HUNTSVILLE, AL, 358014258, US

Contacts

Phone +1 256-533-1799
Fax 2565332506

Authorized person

Name DR. CHRISTOPHER ADAMS BLOOM
Role PRESIDENT
Phone 2565331799

Taxonomy

Taxonomy Code 103T00000X - Psychologist
License Number 1210
State AL
Is Primary Yes

Agent

Name Role
BLOOM, CHRISTOPHER ADAMS Agent

Incorporator

Name Role
BLOOM, CHRISTOPHER A Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State