# OAK MOUNTAIN COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861239030
- **Authorized official:** JEREMY ROBUCK LPC (OWNER)
- **Authorized official phone:** (205) 441-4711

## Contact information

- **Practice address:** 450B CENTURY PARK S, BIRMINGHAM, AL 35226-3910
- **Practice address phone:** (205) 441-4711
- **Mailing address:** 5160 HOLLOW LOG LN, BIRMINGHAM, AL 35244-1924
- **Mailing address phone:** (205) 441-4711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2024
- **Last updated:** 07/13/2024