| Name: | Heartsease Counseling Services LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Oct 2018 (6 years ago) |
| Entity Number: | 000-533-621 |
| Register Number: | 000533621 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2231 VICTORY LANE SUITE 500HOOVER, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699239509 | 2019-01-24 | 2019-01-24 | 2231 VICTORY LN., SUITE 500, HOOVER, AL, 35216, US | 2231 VICTORY LN., SUITE 500, HOOVER, AL, 35216, US | |||||||||||||||||||||
|
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| Phone | +1 205-677-5199 |
| Fax | 2057784311 |
Authorized person
| Name | MARISA HOLLAND |
| Role | OWNER/PROVIDER |
| Phone | 2056775199 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1356827836 |
| State | AL |
| Name | Role |
|---|---|
| HOLLAND, MARISSA | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
