| Name: | SafeHaven Community Counseling Services |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 23 Jun 2020 (4 years ago) |
| Entity Number: | 000-636-175 |
| Register Number: | 000636175 |
| County: | Marion |
| Place of Formation: | Marion County |
| Principal Address: | 326 GOLDENWOOD DRHAMILTON, AL 35570 |
| Principal Address ZIP Code: | 35570 |
Activities
COMMUNITY SERVICES: THAT WILL PROVIDE AN AFTERSCHOOL PROGRAM THA
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ZA5LS3D4TYA8 | 2023-07-23 | 107 MIDWAY DRIVE, WINFIELD, AL, 35594, USA | 107 MIDWAY DR. UNIT C, WINFIELD, AL, 35594, 0931, USA | |||||||||||||||||||||||||||||||||||||||||||
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| Division Name | SAFEHAVEN COMMUNITY COUNSELING SERVICE |
| Congressional District | 04 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2022-07-28 |
| Initial Registration Date | 2022-07-21 |
| Entity Start Date | 2020-06-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 611710, 621330, 621420 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | PENNY M MITCHELL |
| Role | CLINICAL DIRECTOR/THERAPIST |
| Address | 107 MIDWAY DR. UNIT C, WINFIELD, AL, 35594, 0931, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | PENNY M MITCHELL |
| Role | CLINICAL DIRECTOR/THERAPIST |
| Address | 107 MIDWAY DR. UNIT C, WINFIELD, AL, 35594, 0931, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598330417 | 2021-05-24 | 2021-06-28 | 326 GOLDENWOOD DR, HAMILTON, AL, 355703571, US | 326 GOLDENWOOD DR, HAMILTON, AL, 355703571, US | |||||||||||||||
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| Phone | +1 205-570-8233 |
| Fax | 2054490049 |
Authorized person
| Name | MS. PENNY M MITCHELL |
| Role | THERAPIST/COUNSELOR |
| Phone | 2055708233 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MITCHELL, PENNY M | Agent | 326 GOLDENWOOD DRHAMILTON, AL 35570 |
| Name | Role | Address |
|---|---|---|
| MITCHELL, PENNY M | Director | 326 GOLDENWOOD DRHAMILTON, AL 35570 |
| MITCHELL, KATHRICE | Director | 326 GOLDENWOOD DRHAMILTON, AL 35570 |
| MASTIN, APRIL | Director | 326 GOLDENWOOD DRHAMILTON, AL 35570 |
| MITCHELL, DENZEL | Director | 326 GOLDENWOOD DRHAMILTON, AL 35570 |
| MASTN, ELISHA | Director | 326 GOLDENWOOD DRHAMILTON, AL 35570 |
| Name | Role | Address |
|---|---|---|
| SAFEHAVEN COMMUNITY COUNSELING SERVI | Incorporator | 326 GOLDENWOOD DRHAMILTON, AL 35570 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
