| Entity Name: | PEACE TIME COUNSELING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Jun 2006 (19 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L06000061556 |
| FEI/EIN Number | 205071337 |
| Address: | 1025 WEST NEW YORK AVENUE, SUITE 1, DELAND, FL, 32720 |
| Mail Address: | 1025 WEST NEW YORK AVENUE, SUITE 1, DELAND, FL, 32720 |
| ZIP code: | 32720 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649308768 | 2007-03-01 | 2020-08-22 | 1025 W NEW YORK AVENUE, DELAND, FL, 32720, US | 1025 W NEW YORK AVENUE, DELAND, FL, 32720, US | |||||||||||||||||||||||||
|
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| Phone | +1 386-943-9443 |
| Fax | 3869439883 |
Authorized person
| Name | DR. BONNIE ANDERSEN ENGEL |
| Role | PSYCHOLOGIST - OWNER |
| Phone | 3869439443 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY2178 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FL |
| Number | 54840 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ENGEL BONNIE A | Agent | 1025 WEST NEW YORK AVENUE, DELAND, FL, 32720 |
| Name | Role | Address |
|---|---|---|
| ENGEL BONNIE A | Managing Member | PO BOX 740779, ORANGE CITY, FL, 32774 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CANCEL ADM DISS/REV | 2008-10-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-10-26 | 1025 WEST NEW YORK AVENUE, SUITE 1, DELAND, FL 32720 | No data |
| CHANGE OF MAILING ADDRESS | 2008-10-26 | 1025 WEST NEW YORK AVENUE, SUITE 1, DELAND, FL 32720 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-10-26 | 1025 WEST NEW YORK AVENUE, SUITE 1, DELAND, FL 32720 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-03-02 |
| ANNUAL REPORT | 2019-04-21 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-03-04 |
| ANNUAL REPORT | 2016-04-09 |
| ANNUAL REPORT | 2015-04-13 |
| ANNUAL REPORT | 2014-02-01 |
| ANNUAL REPORT | 2013-04-13 |
| ANNUAL REPORT | 2012-03-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
