| Name: | Nichole Turnbow Heidelbach, PsyD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Jun 2016 (8 years ago) |
| Entity Number: | 000-365-490 |
| Register Number: | 000365490 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 7318 VIDETTE LANEOWENS CROSS ROADS, AL 35763 |
| Registered Office Street Address ZIP Code: | 35763 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144736075 | 2017-12-14 | 2017-12-14 | 2366 WHITESBURG DR SW STE A, HUNTSVILLE, AL, 358013830, US | 2366 WHITESBURG DR SW STE A, HUNTSVILLE, AL, 358013830, US | |||||||||||||||||||
|
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| Phone | +1 256-534-1189 |
| Fax | 2565333076 |
Authorized person
| Name | DR. NICHOLE HEIDELBACH |
| Role | OWNER |
| Phone | 2565341189 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | 1780 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TURNBOW, DELORES | Agent |
| Name | Role |
|---|---|
| HEIDELBACH, NICHOLE | Organizer |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
