Entity Name: | FERN CREEK COUNSELING CENTER, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 27 Sep 2004 (20 years ago) |
Document Number: | L04000070798 |
FEI/EIN Number | 201842049 |
Address: | 1133 Louisiana Ave, WINTER PARK, FL, 32789, US |
Mail Address: | 19 E Harvard St, Orlando, FL, 32804, US |
ZIP code: | 32789 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1245499169 | 2008-06-05 | 2008-06-05 | 2479 ALOMA AVE, WINTER PARK, FL, 327922541, US | 2479 ALOMA AVE, WINTER PARK, FL, 327922541, US | |||||||||||||||||||
|
Phone | +1 407-894-4030 |
Fax | 4078946010 |
Authorized person
Name | MRS. ELIZABETH KUNZ WALKER |
Role | OWNER |
Phone | 4078944030 |
Taxonomy
Taxonomy Code | 1041C0700X - Clinical Social Worker |
License Number | SW6468 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ALVAREZ CAROLYN | Agent | 729 SEVILLE PLACE, ORLANDO, FL, 32804 |
Name | Role | Address |
---|---|---|
KUNZ ELIZABETH A | Manager | 1133 Louisiana Ave, WINTER PARK, FL, 32789 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-03-17 | 1133 Louisiana Ave, #202, WINTER PARK, FL 32789 | No data |
CHANGE OF MAILING ADDRESS | 2024-03-17 | 1133 Louisiana Ave, #202, WINTER PARK, FL 32789 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-17 |
ANNUAL REPORT | 2023-04-29 |
ANNUAL REPORT | 2022-04-30 |
ANNUAL REPORT | 2021-04-30 |
ANNUAL REPORT | 2020-05-01 |
ANNUAL REPORT | 2019-03-30 |
ANNUAL REPORT | 2018-03-11 |
ANNUAL REPORT | 2017-04-21 |
ANNUAL REPORT | 2016-04-22 |
ANNUAL REPORT | 2015-03-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State