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MONTGOMERY COUNSELING SERVICES, LLC

Company Details

Entity Name: MONTGOMERY COUNSELING SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Aug 2022 (3 years ago)
Document Number: L22000339975
FEI/EIN Number 87-4098185
Address: 3682 N WICKHAM RD STE B1, #227, MELBOURNE, FL, 32935
Mail Address: 3682 N WICKHAM RD STE B1, #227, MELBOURNE, FL, 32935
ZIP code: 32935
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952019341 2022-11-14 2022-11-14 3682 N WICKHAM RD STE B1, #227, MELBOURNE, FL, 32935, US 3445 SPRING BRANCH TRL APT 163, MELBOURNE, FL, 329355786, US

Contacts

Phone +1 321-758-1432
Phone +1 321-313-2965

Authorized person

Name DR. LISA MONTGOMERY
Role CEO
Phone 3213132965

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
MONTGOMERY LISA Agent 3682 N WICKHAM RD STE B1, MELBOURNE, FL, 32935

Manager

Name Role Address
MONTGOMERY LISA Manager 3682 N WICKHAM RD STE B1, #227, MELBOURNE, FL, 32935

Documents

Name Date
ANNUAL REPORT 2024-04-27
ANNUAL REPORT 2023-04-29
Florida Limited Liability 2022-08-02

Date of last update: 02 Feb 2025

Sources: Florida Department of State