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Oak Mountain Counseling LLC

Details

Name: Oak Mountain Counseling LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 15 Apr 2024 (7 months ago) (Companies founded in April 2024)
Entity Number: 001-131-286
Register Number: 001131286
ZIP code: 35244 (Companies in Jefferson, 35244)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 5160 Hollow Log LaneBirmingham, AL 35244

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861239030 2024-07-13 2024-07-13 5160 HOLLOW LOG LN, BIRMINGHAM, AL, 352441924, US 450B CENTURY PARK S, BIRMINGHAM, AL, 352263910, US

Contacts

Phone +1 205-441-4711

Authorized person

Name JEREMY ROBUCK
Role OWNER
Phone 2054414711

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary No
Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary No
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary Yes

Agent

Name Role
Robuck, Jeremy B Agent

Organizer

Name Role Address
Robuck, Mary M Organizer 5160 Hollow Log LaneBirmingham, AL 35244

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State