| Name: | Crescent Counseling Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 Feb 2019 (6 years ago) |
| Entity Number: | 000-542-884 |
| Register Number: | 000542884 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 459 MAIN STREET, BOX 357TRUSSVILLE, AL 35173 |
| Registered Office Street Address ZIP Code: | 35173 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RAELHLDN2PP1 | 2025-03-13 | 3516 VANN RD STE 106, BIRMINGHAM, AL, 35235, 3276, USA | 459 MAIN ST UNIT 357, TRUSSVILLE, AL, 35173, 1416, USA | |||||||||||||||||||||||||||||||||||
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| Congressional District | 06 |
| Activation Date | 2024-03-18 |
| Initial Registration Date | 2023-12-28 |
| Entity Start Date | 2019-02-11 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621330 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JERMAINE WALL |
| Address | 459 MAIN ST, UNIT 357, TRUSSVILLE, AL, 35173, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JERMAINE WALL |
| Address | 459 MAIN ST, UNIT 357, TRUSSVILLE, AL, 35173, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336605609 | 2019-02-12 | 2019-02-12 | 459 MAIN ST # 357, TRUSSVILLE, AL, 351731416, US | 459 MAIN ST # 357, TRUSSVILLE, AL, 351731416, US | |||||||||||||||
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| Phone | +1 205-418-8223 |
| Fax | 2057080094 |
Authorized person
| Name | MR. JERMAINE A WALL |
| Role | CLINICAL THERAPIST |
| Phone | 2054188223 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WALL, JERMAINE A WALL | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
