| Entity Name: | THE MARRIAGE AND FAMILY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 27 Jan 1981 (44 years ago) |
| Document Number: | 756046 |
| FEI/EIN Number | 000000000 |
| Address: | 1207 WEST MORENO STREET, PENSACOLA, FL, 32501 |
| Mail Address: | 1207 WEST MORENO STREET, PENSACOLA, FL, 32501 |
| ZIP code: | 32501 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215917711 | 2006-01-19 | 2018-03-17 | 5237 SUMMERLIN COMMONS BLVD STE 235, FORT MYERS, FL, 339072158, US | 5237 SUMMERLIN COMMONS BLVD STE 235, FORT MYERS, FL, 339072158, US | |||||||||||||||||||||||||
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| Phone | +1 239-939-2939 |
| Fax | 2394320161 |
Authorized person
| Name | MARIBETH LICHTY |
| Role | OWNER |
| Phone | 2399392939 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW4548 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS/ BLUE SHIELD |
| Number | Z7810 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GUY, RONALD | Agent | 1207 WEST MORENO STREET, PENSACOLA, FL, 32501 |
| Name | Role | Address |
|---|---|---|
| HICKS, H. JAMES, JR | Director | 3945 HIDDEN OAKS DR, PENSACOLA, FL |
| HICKS, LARRY K. | Director | 5245 DURANGO CR, PENSACOLA, FL |
| OVERMAN, CHARLES H,III | Director | 1600 E. LARUA ST, PENSACOLA, FL |
| STARR, G. LEON | Director | 5450 GROVES COURT, PENSACOLA, FL |
| BELL, REED, M.D. | Director | 5151 NORTH 9TH AVENUE, PENSACOLA, FL |
| Name | Role | Address |
|---|---|---|
| HICKS, LARRY K. | Treasurer | 5245 DURANGO CR, PENSACOLA, FL |
| Name | Role | Address |
|---|---|---|
| STARR, G. LEON | President | 5450 GROVES COURT, PENSACOLA, FL |
| Name | Role | Address |
|---|---|---|
| BELL, REED, M.D. | Secretary | 5151 NORTH 9TH AVENUE, PENSACOLA, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| INVOLUNTARILY DISSOLVED | 1984-11-21 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
