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  5. THE GROVE COUNSELING CENTER, INC.

THE GROVE COUNSELING CENTER, INC. - Florida Company Profile

Company Details

Entity Name: THE GROVE COUNSELING CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 04 Feb 1971 (54 years ago)
Date of dissolution: 18 Jun 2018 (7 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 18 Jun 2018 (7 years ago)
Document Number: 720195
FEI/EIN Number 237109532

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 111 WEST MAGNOLIA AVE, LONGWOOD, FL, 32750, US
Mail Address: 111 WEST MAGNOLIA AVE, LONGWOOD, FL, 32750, US
ZIP code: 32750
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780614826 2006-07-04 2009-01-07 111 W MAGNOLIA AVE, LONGWOOD, FL, 327504130, US 111 W MAGNOLIA AVE, LONGWOOD, FL, 327504130, US

Contacts
Phone +1 407-327-1765
Fax 4073392129

Authorized person
Name MR. LARRY A BIRCH
Role PRESIDENT
Phone 4073271765

Taxonomy
Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary No
Taxonomy Code 3245S0500X - Children's Substance Abuse Rehabilitation Facility
Is Primary Yes

Other Provider Identifiers
Issuer AMERIGROUP #
Number 216457
State FL
Issuer VALUE OPTIONS #
Number 122945
State FL
Issuer MHN, INC.
Number 331964
State FL
Issuer BLUE CROSS BLUE SHIELD
Number S2A
State FL
Issuer MEDICAID
Number 0295965
State FL
Issuer CIGNA PROVIDER #
Number 44248
State FL
Issuer HARMONY HEALTH
Number 208983
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE GROVE COUNSELING CENTER 401(K) PLAN 2018 237109532 2019-02-07 THE GROVE COUNSELING CENTER, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-12-31
Business code 621420
Sponsor’s telephone number 4073271765
Plan sponsor’s address 111 WEST MAGNOLIA AVE., LONGWOOD, FL, 32750

Signature of
Role Plan administrator
Date 2019-02-07
Name of individual signing CARLA BUTTS
Valid signature Filed with authorized/valid electronic signature
THE GROVE COUNSELING CENTER 401(K) PLAN 2017 237109532 2018-10-15 THE GROVE COUNSELING CENTER, INC. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-12-31
Business code 621420
Sponsor’s telephone number 4073271765
Plan sponsor’s address 111 WEST MAGNOLIA AVE., LONGWOOD, FL, 32750

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing CARLA BUTTS
Valid signature Filed with authorized/valid electronic signature
THE GROVE COUNSELING CENTER 401(K) PLAN 2016 237109532 2017-09-21 THE GROVE COUNSELING CENTER, INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-11-01
Business code 621420
Sponsor’s telephone number 4073271765
Plan sponsor’s address 111 WEST MAGNOLIA AVENUE, LONGWOOD, FL, 32750

Signature of
Role Plan administrator
Date 2017-09-21
Name of individual signing SHIRLEY ADAMS
Valid signature Filed with authorized/valid electronic signature
THE GROVE COUNSELING CENTER 401(K) PLAN 2014 237109532 2015-09-09 THE GROVE COUNSELING CENTER, INC. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-11-01
Business code 621420
Sponsor’s telephone number 4073271765
Plan sponsor’s address 111 WEST MAGNOLIA AVENUE, LONGWOOD, FL, 32750

Signature of
Role Plan administrator
Date 2015-09-09
Name of individual signing JENNIFER SMALL
Valid signature Filed with authorized/valid electronic signature
THE GROVE COUNSELING CENTER 401(K) PLAN 2013 237109532 2014-07-28 THE GROVE COUNSELING CENTER, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-11-01
Business code 621420
Sponsor’s telephone number 4073271765
Plan sponsor’s address 111 WEST MAGNOLIA AVENUE, LONGWOOD, FL, 32750

Signature of
Role Plan administrator
Date 2014-07-28
Name of individual signing JENNIFER SMALL
Valid signature Filed with authorized/valid electronic signature
THE GROVE COUNSELING CENTER 401(K) PLAN 2012 237109532 2013-06-12 THE GROVE COUNSELING CENTER, INC. 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-11-01
Business code 621420
Sponsor’s telephone number 4073271765
Plan sponsor’s address 111 WEST MAGNOLIA AVENUE, LONGWOOD, FL, 32750

Signature of
Role Plan administrator
Date 2013-06-12
Name of individual signing JENNIFER L SMALL
Valid signature Filed with authorized/valid electronic signature
THE GROVE COUNSELING CENTER 401(K) PLAN 2011 237109532 2012-10-10 THE GROVE COUNSELING CENTER, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-11-01
Business code 621420
Sponsor’s telephone number 4073271765
Plan sponsor’s address 111 WEST MAGNOLIA AVENUE, LONGWOOD, FL, 32750

Plan administrator’s name and address
Administrator’s EIN 237109532
Plan administrator’s name THE GROVE COUNSELING CENTER, INC.
Plan administrator’s address 111 WEST MAGNOLIA AVENUE, LONGWOOD, FL, 32750
Administrator’s telephone number 4073271765

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing JENNIFER L. SMALL
Valid signature Filed with authorized/valid electronic signature
THE GROVE COUNSELING CENTER 401(K) PLAN 2010 237109532 2011-08-26 THE GROVE COUNSELING CENTER, INC. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-11-01
Business code 621420
Sponsor’s telephone number 4073271765
Plan sponsor’s address 111 WEST MAGNOLIA AVENUE, LONGWOOD, FL, 32750

Plan administrator’s name and address
Administrator’s EIN 237109532
Plan administrator’s name THE GROVE COUNSELING CENTER, INC.
Plan administrator’s address 111 WEST MAGNOLIA AVENUE, LONGWOOD, FL, 32750
Administrator’s telephone number 4073271765

Signature of
Role Plan administrator
Date 2011-08-26
Name of individual signing JENNIFER SMALL
Valid signature Filed with authorized/valid electronic signature
THE GROVE COUNSELING CENTER 401(K) PLAN 2009 237109532 2010-10-14 THE GROVE COUNSELING CENTER, INC. 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-11-01
Business code 621420
Sponsor’s telephone number 4073271765
Plan sponsor’s address 111 WEST MAGNOLIA AVENUE, LONGWOOD, FL, 32750

Plan administrator’s name and address
Administrator’s EIN 237109532
Plan administrator’s name THE GROVE COUNSELING CENTER, INC.
Plan administrator’s address 111 WEST MAGNOLIA AVENUE, LONGWOOD, FL, 32750
Administrator’s telephone number 4073271765

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing JENNIFER SMALL
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Card Chris Chairman 111 WEST MAGNOLIA AVE, LONGWOOD, FL, 32750
Billhartz Michelle Treasurer 111 WEST MAGNOLIA AVE, LONGWOOD, FL, 32750
DINKLAGE MARIE Secretary 1412 NOTTINGHAM STREET, ORLANDO, FL, 32803
CHIANTELLO MARIA I President 6450 GIBSON DRIVE, BELLE ISLE, FL, 32809
Onchantho Am Vice President 111 WEST MAGNOLIA AVE, LONGWOOD, FL, 32750
Velasquez Isabel Chief Financial Officer 111 WEST MAGNOLIA AVE, LONGWOOD, FL, 32750
Velasquez Isabel M Agent 111 WEST MAGNOLIA AVE, LONGWOOD, FL, 32750

Events

Event Type Filed Date Value Description
MERGER 2018-06-18 - CORPORATION WAS PART OF A MERGER. NON-QUALIFIED CORPORATION WAS N49785. MERGER NUMBER 900000183039
REGISTERED AGENT NAME CHANGED 2018-02-23 Velasquez, Isabel M -
REGISTERED AGENT ADDRESS CHANGED 2013-01-22 111 WEST MAGNOLIA AVE, LONGWOOD, FL 32750 -
CHANGE OF PRINCIPAL ADDRESS 2007-12-18 111 WEST MAGNOLIA AVE, LONGWOOD, FL 32750 -
CHANGE OF MAILING ADDRESS 2007-12-18 111 WEST MAGNOLIA AVE, LONGWOOD, FL 32750 -
NAME CHANGE AMENDMENT 1980-01-11 THE GROVE COUNSELING CENTER, INC. -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J17000292732 TERMINATED 1000000741537 SEMINOLE 2017-04-24 2027-05-24 $ 4,679.20 STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759

Documents

Name Date
ANNUAL REPORT 2018-02-23
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-01-11
ANNUAL REPORT 2015-01-23
ANNUAL REPORT 2014-01-13
ANNUAL REPORT 2013-01-22
ANNUAL REPORT 2012-04-06
ANNUAL REPORT 2012-01-04
ANNUAL REPORT 2011-01-24
ANNUAL REPORT 2010-04-12

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Velasquez Isabel

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Companies related by address

No other companies in our directory share the same address as THE GROVE COUNSELING CENTER, INC.

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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