| Name: | Rebel Hearts Counseling , L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Jul 2022 (2 years ago) |
| Entity Number: | 001-029-344 |
| Register Number: | 001029344 |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 22994 Eastern Valley RoadMc Calla, AL 35111 |
| Registered Office Street Address ZIP Code: | 35111 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841904554 | 2023-01-09 | 2023-01-09 | 4124 WATERMELON RD STE B, NORTHPORT, AL, 354735252, US | 4124 WATERMELON RD STE B, NORTHPORT, AL, 354735252, US | |||||||||||||||||
|
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| Phone | +1 205-737-0910 |
Authorized person
| Name | HEATHER THOMAS |
| Role | OWNER, CLINICIAN |
| Phone | 2057370910 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| Thomas, Heather L | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
