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Neurobloom LLC

Details

Name: Neurobloom LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 Jun 2020 (4 years ago) (Companies founded in June 2020)
Entity Number: 000-635-580
Register Number: 000635580
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 212 W. Troy St. STE BDothan, AL 36303

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497363519 2020-07-15 2020-07-15 4517 PINE TREE CIR, VESTAVIA, AL, 352432307, US 4517 PINE TREE CIR, VESTAVIA, AL, 352432307, US

Contacts

Phone +1 205-286-2003

Authorized person

Name ASHLEY BEARD
Role OWNER
Phone 2059364087

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
Registered Agents Inc Agent 212 W. Troy St. STE BDothan, AL 36303

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State