Organization
OAK MOUNTAIN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY ROBUCK LPC (OWNER)
(205) 441-4711
Entity
Organization
Contact information
Practice address
450B CENTURY PARK S, BIRMINGHAM, AL 35226-3910
(205) 441-4711
Mailing address
5160 HOLLOW LOG LN, BIRMINGHAM, AL 35244-1924
(205) 441-4711
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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