| Name: | Gulf Coast Counseling Services, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 25 Jun 2001 (23 years ago) |
| Date of dissolution: | 30 Jun 2020 |
| Entity Number: | 000-676-346 |
| Register Number: | 000676346 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 205 WEST ORANGE AVENUEFOLEY, AL 36535 |
| Registered Office Street Address ZIP Code: | 36535 |
| Principal Address: | FOLEY, AL |
Activities
PROVIDE MENTAL HEALTH CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346324696 | 2006-10-24 | 2020-08-22 | 805 N. MCKENZIE ST., STE. A, FOLEY, AL, 365353544, US | 805 N. MCKENZIE ST., STE. A, FOLEY, AL, 365353544, US | |||||||||||||||||||||||||||
|
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| Phone | +1 251-970-5902 |
| Fax | 2519705903 |
Authorized person
| Name | DR. KIMBERLY WHITCHARD |
| Role | OWNER/PSYCHOLOGIST |
| Phone | 2519705902 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | 1081 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | 850 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| WHITCHARD, KIMBERLY A | Member |
| Name | Role |
|---|---|
| WHITCHARD, KIMBERLY A | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
