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Organization
HEIDI BULLOCK COUNSELING LLC
Active
Organization
HEIDI BULLOCK COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEIDI LYNN BULLOCK LCSW/PIP (PROVIDER-OWNER)
(317) 650-1165
Entity
Organization
Contact information
Practice address
3 OFFICE PARK CIRCLE, SUITE 115, MOUNTAIN BROOK, AL 35223
(205) 912-2000
(205) 945-1890
Mailing address
3 OFFICE PARK CIRCLE, SUITE 115, MOUNTAIN BROOK, AL 35223
(205) 912-2000
(205) 945-1890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2267C
AL
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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