| Entity Name: | FARRELL COUNSELING SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Aug 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P15000069679 |
| Address: | 3812 WATSON DR, NEW PORT RICHEY, FL, 34655 |
| Mail Address: | 3812 WATSON DR, NEW PORT RICHEY, FL, 34655 |
| ZIP code: | 34655 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548625700 | 2015-12-15 | 2015-12-15 | 3812 WATSON DR, NEW PORT RICHEY, FL, 346552031, US | 7620 CONGRESS ST, NEW PORT RICHEY, FL, 346531108, US | |||||||||||||||||||||||||||
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| Phone | +1 727-597-3186 |
| Fax | 8882892159 |
| Phone | +1 727-848-0185 |
Authorized person
| Name | MELISSA ANN FARRELL |
| Role | OWNER |
| Phone | 7275973186 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | SW10652 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 011713700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FARRELL MELISSA A | Agent | 3812 WATSON DR, NEW PORT RICHEY, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| FARRELL MELISSA A | President | 3812 WATSON DR, NEW PORT RICHEY, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| FARRELL MELISSA A | Vice President | 3812 WATSON DR, NEW PORT RICHEY, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| FARRELL MELISSA A | Secretary | 3812 WATSON DR, NEW PORT RICHEY, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| FARRELL MELISSA A | Treasurer | 3812 WATSON DR, NEW PORT RICHEY, FL, 34655 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2015-08-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
