| Name: | Trussville Family Counseling, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Jan 2007 (18 years ago) |
| Entity Number: | 000-488-482 |
| Register Number: | 000488482 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 290 DAWNS WAYTRUSSVILLE, AL 35173 |
| Registered Office Street Address ZIP Code: | 35173 |
Activities
CHRISTIAN COUNSELING
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790091593 | 2010-08-31 | 2010-08-31 | 128 N CHALKVILLE RD, TRUSSVILLE, AL, 351731373, US | 128 N CHALKVILLE RD, TRUSSVILLE, AL, 351731373, US | |||||||||||||||||||
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| Fax | 2056553851 |
| Phone | +1 205-276-2419 |
Authorized person
| Name | TERRY L MASHBURN |
| Role | CLINICAL DIRECTOR |
| Phone | 2052762419 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | 2445 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MASHBURN, TERRY | Agent |
| Name | Role |
|---|---|
| MASHBURN, TERRY | Member |
| MASHBURN, BRENDA | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
