| Name: | Bloom Pediatric Therapy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 May 2024 (6 months ago) (Companies founded in May 2024) |
| Entity Number: | 001-135-970 |
| Register Number: | 001135970 |
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 212 W. Troy ST. STE BDothan, AL 36303 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831933761 | 2024-06-25 | 2024-06-25 | 109 LANE PARK DR, MAYLENE, AL, 351146085, US | 109 LANE PARK DR, MAYLENE, AL, 351146085, US | |||||||||||||||||
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| Phone | +1 205-919-2134 |
Authorized person
| Name | JESSICA GARZAREK |
| Role | SPEECH LANGUAGE PATHOLOGIST |
| Phone | 2059192134 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Registered Agents Inc | Agent | 212 W. Troy St. STE BDothan, AL 36303 |
| Name | Role | Address |
|---|---|---|
| Garzarek, Jessica E | Organizer | 109 Lane Park DriveMaylene, AL 35114 |
| Maddox, Anne A | Organizer | 2253 Russet Meadows TerraceBirmingham, AL 35244 |
| Tidmore, Taylor N | Organizer | 237 Raleigh AvenueHomewood, AL 35209 |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
