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Galusha Psychological Services, LLC

Details

Name: Galusha Psychological Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 21 Jan 2011 (14 years ago)
Date of dissolution: 18 Aug 2017
Entity Number: 000-000-765
Register Number: 000000765
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 936 JEFF RDHUNTSVILLE, AL 35806
Registered Office Street Address ZIP Code: 35806

Activities PROVIDE PSYCHOLOGICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952607699 2011-01-27 2011-01-27 936 JEFF RD NW, HUNTSVILLE, AL, 358061238, US 936 JEFF RD NW, HUNTSVILLE, AL, 358061238, US

Contacts

Phone +1 256-837-2127
Fax 2568372174

Authorized person

Name CARLA S GALUSHA
Role PSYCHOLOGIST / OWNER
Phone 2568372127

Taxonomy

Taxonomy Code 103T00000X - Psychologist
License Number 1641
State AL
Is Primary Yes

Organizer

Name Role Address
GALUSHA, CARLA PHD Organizer 936 JEFF RDHUNTSVILLE, AL 35806

Agent

Name Role Address
GALUSHA, CARLA PHD Agent 936 JEFF RDHUNTSVILLE, AL 35806

Member

Name Role Address
GALUSHA, CARLA PHD Member 936 JEFF RDHUNTSVILLE, AL 35806

Date of last update: 29 Jul 2024

Sources: Alabama Secretary of State