| Name: | Heidi Collier, LICSW LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Jan 2022 (3 years ago) |
| Entity Number: | 000-963-198 |
| Register Number: | 000963198 |
| County: | Baldwin |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 27625 US Hwy 98 Building ADaphne, AL 36526 |
| Registered Office Street Address ZIP Code: | 36526 |
| Registered Office Mailing Address: | 20050 Oak Road East, Apartment 903, Apartment 903Gulf Shores, AL 36542 |
| Registered Office Mailing Address ZIP Code: | 36542 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083366629 | 2022-01-25 | 2022-01-25 | 27625 US HIGHWAY 98 BLDG A, DAPHNE, AL, 365264816, US | 27625 US HIGHWAY 98 BLDG A, DAPHNE, AL, 365264816, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 251-626-7959 |
| Fax | 2516266122 |
Authorized person
| Name | HEIDI COLLIER |
| Role | CLINICAL SOCIAL WORKER |
| Phone | 3344568809 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Collier, Heidi C Collier | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
