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Family Counseling Center - LLC

Details

Name: Family Counseling Center - LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 05 Sep 2001 (23 years ago) (Companies founded in September 2001)
Date of dissolution: 30 Oct 2019
Entity Number: 000-677-478
Register Number: 000677478
ZIP code: 36322 (Companies in Dale, 36322)
County: Dale
Place of Formation: Dale County
Principal Address: DALEVILLE, AL
Registered Office Street Address: 118 GRANTHAM WAYDALEVILLE, AL 36322

Activities PROVIDE PSYCHOTHERAPHY/MARRIAGE/FAMILY THERAPY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609024686 2008-09-03 2015-07-31 557 GLOVER AVE., SUITE 3, ENTERPRISE, AL, 363302024, US 557 GLOVER AVE., SUITE 3, ENTERPRISE, AL, 363302024, US

Contacts

Phone +1 334-308-2292
Fax 3343472919

Authorized person

Name MR. KEITH L ELLIS
Role OWNER
Phone 3343082292

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
License Number 212
State AL
Is Primary Yes

Agent

Name Role Address
ELLIS, KEITH Agent 2501 BELL ROADMONTGOMERY, AL 36117

Member

Name Role Address
ELLIS, KEITH Member 2501 BELL ROADMONTGOMERY, AL 36117

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State