| Entity Name: | THE BETHEL FAMILY LIFE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 27 Aug 1997 (27 years ago) |
| Document Number: | N97000004857 |
| FEI/EIN Number | 59-3479468 |
| Address: | 224 N. MARTIN LUTHUR KING BLVD, TALLAHASSEE, FL, 32301-1061, US |
| Mail Address: | 224 N. MARTIN LUTHUR KING BLVD, TALLAHASSEE, FL, 32301-1061, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588745269 | 2006-10-18 | 2020-08-22 | 471 W TENNESSEE ST, TALLAHASSEE, FL, 323011025, US | 471 W TENNESSEE ST, TALLAHASSEE, FL, 323011025, US | |||||||||||||||
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| Phone | +1 850-577-1780 |
Authorized person
| Name | DR. RB HOLMES JR. |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 8505771780 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CUMMINGS CAROLYN D | Agent | 462 W. BREVARD ST, TALLAHASSEE, FL, 32301 |
| Name | Role | Address |
|---|---|---|
| BYRD RALPH | Director | 10637 VALENETIINE ROAD N, TALLAHASSEE, FL, 32311 |
| COLLINS LUCRETIA | Director | 2041 TED HINES DR, TALLAHASSEE, FL, 32308 |
| CUMMINGS CAROLYN D | Director | 1020 E LAFAYETTE SUITE 205, TALLAHASSEE, FL, 32308 |
| BRYANT ELANIE | Director | 2715 CHARLESTON CT, TALLAHASSEE, FL, 32308 |
| HOLMES R B | Director | 5987 Heartland Circle, TALLAHASSEE, FL, 32312 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
