| Name: | Milestones Psychology and Therapy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 04 Dec 1992 (32 years ago) |
| Entity Number: | 000-153-489 |
| Register Number: | 000153489 |
| Historical Names: |
Child and Family Services of Southeast Alabama, Inc.
|
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | 100 WESTSIDE DRIVEDOTHAN, AL 36303 |
| Principal Address ZIP Code: | 36303 |
| Authorized Capital: | $1,000 |
Activities
PSYCHOLOGICAL COUNSELING & RELATED MENTAL HEALTH SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730431164 | 2012-10-09 | 2023-04-27 | 100 WESTSIDE DR., DOTHAN, AL, 36303, US | 100 WESTSIDE DR., DOTHAN, AL, 36303, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 334-793-2237 |
| Fax | 3347126256 |
Authorized person
| Name | MR. RICHARD DISMUKES |
| Role | PRESIDENT |
| Phone | 3347932237 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 103T00000X - Psychologist |
| State | AL |
| Is Primary | No |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 77XB6 | Active | Non-Manufacturer | 2014-09-18 | 2015-09-18 | No data | No data | |||||||||||||||
|
|||||||||||||||||||||
| POC | MARY ADAMS |
| Phone | +1 334-793-2237 |
| Fax | +1 334-712-6256 |
| Address | 100 WESTSIDE DR, DOTHAN, AL, 36303 1908, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| DISMUKES, K R | Agent |
| Name | Role | Address |
|---|---|---|
| DISMUKES, K RICHARD | Director | 100 WESTSIDE DRIVEDOTHAN, AL 36303 |
| NOLAN, ROBERT J | Director | 100 WESTSIDE DRIVEDOTHAN, AL 36303 |
| DISMUKES, JEANNE S | Director | 100 WESTSIDE DRIVEDOTHAN, AL 36303 |
| COTTER, MELANIE | Director | 100 WESTSIDE DRIVEDOTHAN, AL 36303 |
| CANNON, TONI D | Director | 100 WESTSIDE DRIVEDOTHAN, AL 36303 |
| REEVES, BRANDI | Director | 100 WESTSIDE DRIVEDOTHAN, AL 36303 |
| Name | Role | Address |
|---|---|---|
| DISMUKES, K RICHARD | Incorporator | 100 WESTSIDE DRIVEDOTHAN, AL 36303 |
| ROBERTSON, MARJORIE A | Incorporator | No data |
| NOLAN, ROBERT J | Incorporator | 100 WESTSIDE DRIVEDOTHAN, AL 36303 |
| DISMUKES, JEANNE S | Incorporator | 100 WESTSIDE DRIVEDOTHAN, AL 36303 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2022-01-06 | Name Change | Child and Family Services of Southeast Alabama, Inc. | Milestones Psychology and Therapy, Inc. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
