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