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The Island Counseling Connection, LLC

Details

Name: The Island Counseling Connection, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Apr 2022 (3 years ago)
Entity Number: 001-016-169
Register Number: 001016169
Historical Names: The Island Wellness Connection, LLC
County: Baldwin
Place of Formation: Alabama
Registered Office Street Address: 433 Palmetto Ct.Gulf Shores, AL 36542
Registered Office Street Address ZIP Code: 36542

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588369409 2023-03-31 2023-03-31 433 PALMETTO CT, GULF SHORES, AL, 365423419, US 433 PALMETTO CT, GULF SHORES, AL, 365423419, US

Contacts

Phone +1 309-351-5255

Authorized person

Name KELLY COBB
Role MANAGER
Phone 3093515255

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
Is Primary Yes

Agent

Name Role
Schwab, Lisa M Agent

Member

Name Role Address
Kelly Cobb Member 505 W. Detweiller Dr.Peoria, IL 61615
Lisa Schwab Member 505 W. Detweiller Dr.Peoria, IL 61615

Organizer

Name Role Address
Cobb, Kelly M Organizer 433 Palmetto Ct.Gulf Shores, AL 36542

Events

Event Date Event Type Old Value New Value
2022-04-25 Name Change The Island Wellness Connection, LLC The Island Counseling Connection, LLC

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State