| Name: | Heidi Bullock Counseling LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Jul 2015 (9 years ago) |
| Entity Number: | 000-340-551 |
| Register Number: | 000340551 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 217 KENT LANEHOMEWOOD, AL 35209 |
| Registered Office Street Address ZIP Code: | 35209 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356708580 | 2016-01-19 | 2016-01-19 | 3 OFFICE PARK CIRCLE, SUITE 115, MOUNTAIN BROOK, AL, 35223, US | 3 OFFICE PARK CIRCLE, SUITE 115, MOUNTAIN BROOK, AL, 35223, US | |||||||||||||||||||
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| Phone | +1 205-912-2000 |
| Fax | 2059451890 |
Authorized person
| Name | MS. HEIDI LYNN BULLOCK |
| Role | PROVIDER-OWNER |
| Phone | 3176501165 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | 2267C |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| JERNIGAN, ANGEL | Agent |
| Name | Role |
|---|---|
| BULLOCK, HEIDI | Organizer |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
